Mottled skin

[TorturedSoul]

So, my 9 year old daughter seems to have a persistent mottled look to her skin. When she gets a stomach ache and is sitting on the toilet it gets worse. I do notice that it never fully goes away. When I look at my arms there seems to be slight mottling too that gets worse when I'm cold. It seems she's always had this as I remember seeing it when she was an infant as well. No doctor ever showed any concern. Does anyone else have a child with this? 

[TorturedSoul]

Just to add we took her to a rheumatologist 2 years ago Bc of discoloration of her toes and sores. Turns out it was pernio. The doctor did some bloodwork and said it was benign. Obviously there is a circulation issues. Why are doctors so blind? 

[MomtoGiuliana]

Blood pooling in limbs, which can be a symptom of dysautonomia, can cause a mottled appearance of the skin.

This list of symptoms may be useful:

POTS Symptoms, Diagnosis and Prognosis - POTS - Dysautonomia Information Network (DINET)

Has your child been evaluated by a dysautonomia specialist?

[TorturedSoul]

No. We actually have an appointment with a mito specialist at CHOP. Honestly we should've went straight to the dysautonomia clinic there or genetic department. The cardiologist felt like there was such strong overlap with symptoms that mito, geneticist, dysautonomia department visits were all warranted. Because my son has some issues as do I we would like to rule out mito/genetics.