JLE

European Journal of Dermatology

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A 13-year-old boy with BASCULE syndrome and a literature review of the potential causative mechanisms Volume 32, issue 4, 2022-07-01

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Authors
1 Pediatric Dermatology, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Mexico
2 Instituto Tecnologico y de Estudios Superiores de Monterrey, Escuela de Medicina y Ciencias de la Salud, Zapopan, Mexico

A 13-year-old boy was evaluated for palmoplantar hyperhidrosis and a one-year history of severe pruritus on the lower extremities triggered by a still standing position. The rest of the medical history was unremarkable and previous treatment for urticaria was denied. A provocation test was performed, which induced bilateral irregularly-shaped white macules (known as Bier anaemic spots) on an erythrocyanotic background on the extensor and flexor surface of the lower extremities after 1-2 minutes [...]