PMC9926387_01
Bier anemic spots, cyanosis, and urticaria-like eruption on the bilateral lower extremities.
10.1177_2050313X231152062-fig1.jpg
PMC9926387_01_10.1177_2050313X231152062-fig1.jpg
fig1-2050313X231152062
These dermatologic changes would begin at the distal legs and would stay localized to the legs and thighs (Figure 1). However, the patient had an image of a previous eruption that displayed cyanotic changes with discrete oval pale patches and urticoid plaques on the lower extremities (Figure 1).
PMC9926387_02
(a) Erythematous urticaria-like eruption with a pale halo with cyanotic changes on the knees and lower extremities, (b) Erythematous, urticaria-like macules and patches, pale macules, and cyanotic changes, and (c) Erythematous urticaria-like macules with a pale hue and interspersed cyanotic changes.
10.1177_2050313X231152062-fig2.jpg
PMC9926387_02_10.1177_2050313X231152062-fig2.jpg
fig2-2050313X231152062
The patient had photos of their previous eruptions (Figure 2(a)-(c)).
PMC9926387_03
(a) Cyanosis of the lower extremities with erythematous and pale macules. (b) Erythematous patches with relatively pale macules with a background cyanosis.
10.1177_2050313X231152062-fig3.jpg
PMC9926387_03_10.1177_2050313X231152062-fig3.jpg
fig3-2050313X231152062
The eruptions would begin on the legs and stay localized to the legs and thighs (Figure 3(a) and (b)) and dorsum of the feet. The individual had pictures that clinically displayed features of BASCULE syndrome on the lower extremities (Figure 3(a) and (b)).