 |
 |

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]
|