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May 2000

Constitutive Speckled Vascular Mottling of the Skin Resembling Bier White Spots: Lack of Venoarteriolar Reflex in Dermal Arterioles

Arch Dermatol. 2000;136(5):674-675. doi:

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.

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