Beer stains I99

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 27.08.2024

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History
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August Bier, 1898

Definition
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Anemic patches when an extremity, especially the hands and forearms in the acrocyanotic skin area, is left hanging down. In rare cases, the vasospastically induced Biers patches can be combined with unilateral telangiectasias (Tan Cheng et al. 2011 - see also Naevus anaemicus).

Etiopathogenesis
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Vegetative spasms.

Differential diagnosis
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Vitiligo (localized non-variable depigmentation)

Pityriasis versicolor (mainly in seborrhoeic zones; no acute variability in the depigmentation)

Post-inflammatory hypopigmentation (preceding inflammatory dermatosis)

Naevus anaemicus (localized non-variable depigmentation)

(Note: this article was created by Dr. med. Katrin Mihalics)

Therapy
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Not required.

Literature
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  1. Mahajan VK et al. (2015) Beer spots: An uncommon cause of mottled skin. Indian Dermatol Online J 6:128-129.
  2. Tan Cheng et al (2011) Unilateral nevoid telangiectasias superimposed on Bier spots: another example of vascular twin spots. JDDG 9: 389-390

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 27.08.2024