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. 2015 Mar-Apr;6(2):128-9.
doi: 10.4103/2229-5178.153020.

Bier spots: An uncommon cause of mottled skin

Vikram K Mahajan  1 , Gayatri Khatri  1 , Ravinder Singh  1 , Pushpinder S Chauhan  1 , Karaninder S Mehta  1
Affiliations

Bier spots: An uncommon cause of mottled skin

Vikram K Mahajan et al. Indian Dermatol Online J. 2015 Mar-Apr.
No abstract available

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Figures

Figure 1
Figure 1
Innumerable hypopigmented macular lesions with faint, irregular borders against blanching erythema in a mottled pattern over forearms and palms. Mottling is more marked over the palms
Figure 2
Figure 2
The lesions over palms became prominent after the limb was in a prolonged dependent position
Figure 3
Figure 3
All lesions disappeared on limb elevation imparting a normal appearance to the skin
Figure 4
Figure 4
Histopathology showing stratum corneum having characteristic normal basket weave appearance, normal epidermis and basal cell layer. Upper dermis shows multiple dilated capillaries with normal vessel walls and no vasculopathy/vasculitis, melanin incontinence or significant inflammatory cell infiltrate (H and E, ×40)
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