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Bier spots are an under-recognized cutaneous manifestation of lower extremity lymphedema: a case series and brief review of the literature.

Abstract：

:Bier spots represent a benign vascular mottling characterized by multiple irregular white macules along the extensor surfaces of the arms and legs. They have been reported in a variety of diverse conditions with no consistent disease association. We have identified a novel association between these physiologic anemic macules and lower extremity lymphedema. Eleven patients between 23 and 70 years of age (5 male and 6 female) were diagnosed with Bier spots as evidenced by reversible white macules ranging from 3 to 8 mm in diameter on the extensor portions of the feet, ankles, and calves. The thighs were affected as well in 2 morbidly obese subjects. We suspect that these lesions are not uncommon in lymphedema but are simply under-recognized.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Dean SM,Zirwas M

doi

10.1016/j.avsg.2014.07.005

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

1935.e13-6

issue

8

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(14)00429-4

journal_volume

28

pub_type

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