Bier spots are an under-recognized cutaneous manifestation of lower extremity lymphedema: a case series and brief review of the literature.
Identifieur interne : 002D16 ( Main/Exploration ); précédent : 002D15; suivant : 002D17Bier spots are an under-recognized cutaneous manifestation of lower extremity lymphedema: a case series and brief review of the literature.
Auteurs : Steven M. Dean [États-Unis] ; Matthew Zirwas [États-Unis]Source :
- Annals of vascular surgery [ 1615-5947 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Dermatoses vasculaires (diagnostic), Dermatoses vasculaires (physiopathologie), Dermatoses vasculaires (étiologie), Débit sanguin régional, Femelle, Humains, Hypopigmentation (diagnostic), Hypopigmentation (physiopathologie), Hypopigmentation (étiologie), Jeune adulte, Lymphoedème (), Lymphoedème (diagnostic), Lymphoedème (physiopathologie), Membre inférieur, Mâle, Peau (), Pigmentation de la peau, Sujet âgé, Vasoconstriction.
- MESH :
- diagnostic : Dermatoses vasculaires, Hypopigmentation, Lymphoedème.
- physiopathologie : Dermatoses vasculaires, Hypopigmentation, Lymphoedème.
- étiologie : Dermatoses vasculaires, Hypopigmentation.
- Adulte, Adulte d'âge moyen, Débit sanguin régional, Femelle, Humains, Jeune adulte, Lymphoedème, Membre inférieur, Mâle, Peau, Pigmentation de la peau, Sujet âgé, Vasoconstriction.
English descriptors
- KwdEn :
- Adult, Aged, Female, Humans, Hypopigmentation (diagnosis), Hypopigmentation (etiology), Hypopigmentation (physiopathology), Lower Extremity, Lymphedema (complications), Lymphedema (diagnosis), Lymphedema (physiopathology), Lymphedema (therapy), Male, Middle Aged, Regional Blood Flow, Skin (blood supply), Skin Diseases, Vascular (diagnosis), Skin Diseases, Vascular (etiology), Skin Diseases, Vascular (physiopathology), Skin Pigmentation, Vasoconstriction, Young Adult.
- MESH :
- blood supply : Skin.
- complications : Lymphedema.
- diagnosis : Hypopigmentation, Lymphedema, Skin Diseases, Vascular.
- etiology : Hypopigmentation, Skin Diseases, Vascular.
- physiopathology : Hypopigmentation, Lymphedema, Skin Diseases, Vascular.
- therapy : Lymphedema.
- Adult, Aged, Female, Humans, Lower Extremity, Male, Middle Aged, Regional Blood Flow, Skin Pigmentation, Vasoconstriction, Young Adult.
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.
DOI: 10.1016/j.avsg.2014.07.005
PubMed: 25017780
Affiliations:
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Dean</name><affiliation wicri:level="2"><nlm:affiliation>Division of Cardiovascular Medicine, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address: steven.dean@osumc.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Cardiovascular Medicine, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Zirwas, Matthew" sort="Zirwas, Matthew" uniqKey="Zirwas M" first="Matthew" last="Zirwas">Matthew Zirwas</name><affiliation wicri:level="2"><nlm:affiliation>Division of Dermatology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Dermatology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus</wicri:cityArea></affiliation></author></analytic><series><title level="j">Annals of vascular surgery</title><idno type="eISSN">1615-5947</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Hypopigmentation (diagnosis)</term><term>Hypopigmentation (etiology)</term><term>Hypopigmentation (physiopathology)</term><term>Lower Extremity</term><term>Lymphedema (complications)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (physiopathology)</term><term>Lymphedema (therapy)</term><term>Male</term><term>Middle Aged</term><term>Regional Blood Flow</term><term>Skin (blood supply)</term><term>Skin Diseases, Vascular (diagnosis)</term><term>Skin Diseases, Vascular (etiology)</term><term>Skin Diseases, Vascular (physiopathology)</term><term>Skin Pigmentation</term><term>Vasoconstriction</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Dermatoses vasculaires (diagnostic)</term><term>Dermatoses vasculaires (physiopathologie)</term><term>Dermatoses vasculaires (étiologie)</term><term>Débit sanguin régional</term><term>Femelle</term><term>Humains</term><term>Hypopigmentation (diagnostic)</term><term>Hypopigmentation (physiopathologie)</term><term>Hypopigmentation (étiologie)</term><term>Jeune adulte</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (physiopathologie)</term><term>Membre inférieur</term><term>Mâle</term><term>Peau ()</term><term>Pigmentation de la peau</term><term>Sujet âgé</term><term>Vasoconstriction</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Skin</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hypopigmentation</term><term>Lymphedema</term><term>Skin Diseases, Vascular</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Dermatoses vasculaires</term><term>Hypopigmentation</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hypopigmentation</term><term>Skin Diseases, Vascular</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Dermatoses vasculaires</term><term>Hypopigmentation</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hypopigmentation</term><term>Lymphedema</term><term>Skin Diseases, Vascular</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Dermatoses vasculaires</term><term>Hypopigmentation</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Lower Extremity</term><term>Male</term><term>Middle Aged</term><term>Regional Blood Flow</term><term>Skin Pigmentation</term><term>Vasoconstriction</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Débit sanguin régional</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Lymphoedème</term><term>Membre inférieur</term><term>Mâle</term><term>Peau</term><term>Pigmentation de la peau</term><term>Sujet âgé</term><term>Vasoconstriction</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><country name="États-Unis"><region name="Ohio"><name sortKey="Dean, Steven M" sort="Dean, Steven M" uniqKey="Dean S" first="Steven M" last="Dean">Steven M. Dean</name></region><name sortKey="Zirwas, Matthew" sort="Zirwas, Matthew" uniqKey="Zirwas M" first="Matthew" last="Zirwas">Matthew Zirwas</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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