Bier spots

Hand with multiple Bier spots

Bier spots are small, light flat spots usually found on the arms and legs of young adults, in which the intervening skin may seem red but blanches with pressure so that these light spots disappear.[1] This is a benign physiologic vascular anomaly of no significance clinically.[2]

Signs and symptoms

  • Pale flat spots
    Pale flat spots
  • Spots more apparent on keeping hands down
    Spots more apparent on keeping hands down
  • Spots disappear on raising hand
    Spots disappear on raising hand

Diagnosis

The spots appear when the blood is congested with a bandage on the upper arm, e.g. with a blood pressure cuff.

The spots also appear when the arms are slightly raised from the trunk (angle approx. 45°) and disappear again when the arms are stretched upwards.[3]

  • Stratum corneum with characteristic normal basket weave appearance, normal epidermis and basal cell layer.
    Stratum corneum with characteristic normal basket weave appearance, normal epidermis and basal cell layer.

Treatment

It is a physiological phenomenon that requires no treatment.[3]

See also

References

  1. ↑ James, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020). "35.Cutaneous vascular diseases". Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Edinburgh: Elsevier. p. 822. ISBN 978-0-323-54753-6. Archived from the original on 2023-03-29. Retrieved 2023-03-29.
  2. ↑ Portocarrero, Larissa Karine Leite; Saraiva, Maria Isabel Ramos; Barbosa, Marcella Amaral Horta; Veronez, Isis Suga; Swiczar, Bethania Cabral Cavalli; Valente, Neusa Yuriko Sakai (2016). "Bier's spots with onset in childhood". Anais Brasileiros de Dermatologia. 91 (5 Suppl 1): 90–91. doi:10.1590/abd1806-4841.20164533. ISSN 0365-0596. PMID 28300906. Archived from the original on 2022-03-23. Retrieved 2023-03-28.
  3. 1 2 "PharmaWiki - Bier-Flecken". www.pharmawiki.ch (in Deutsch). Archived from the original on 2020-06-10. Retrieved 2020-06-10.

Further reading

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