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  Vol. 136 No. 5, May 2000 TABLE OF CONTENTS
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Constitutive Speckled Vascular Mottling of the Skin Resembling Bier White Spots: Lack of Venoarteriolar Reflex in Dermal Arterioles

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Bier spots constitute a distinct pattern of vascular mottling composed of small, irregular maculae, often triggered by external compression of the limb.1 The spots are caused by a vasoconstriction in microvessels caused by a lack of oxygen2-3 and are therefore regarded as a nonphysiologic phenomenon precipitated by vascular occlusion. Herein we describe a macular vascular pattern of the skin resembling Bier spots that may develop spontaneously during mild venous stasis.

From 1995 to 1999 we identified 8 patients (5 women, 3 men; aged 19-35 years) with spontaneous Bier spots among the patients referred to our department. In 3 patients the spots were the primary object of concern; the other patients inquired about the origin of the spots during consultations pertaining to other skin problems. In 1 patient the spots appeared during pregnancy. The patients had no other complaints suggesting vascular disease.

The spots were visible only when venous stasis and . . . [Full Text of this Article]







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