case_images: PMC9926387_01
case_images: Bier anemic spots, cyanosis, and urticaria-like eruption on the bilateral lower extremities.
case_images: 10.1177_2050313X231152062-fig1.jpg
case_images: PMC9926387_01_10.1177_2050313X231152062-fig1.jpg
case_images: fig1-2050313X231152062
case_images: 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).
case_images: PMC9926387_02
case_images: (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.
case_images: 10.1177_2050313X231152062-fig2.jpg
case_images: PMC9926387_02_10.1177_2050313X231152062-fig2.jpg
case_images: fig2-2050313X231152062
case_images: The patient had photos of their previous eruptions (Figure 2(a)-(c)).
case_images: PMC9926387_03
case_images: (a) Cyanosis of the lower extremities with erythematous and pale macules. (b) Erythematous patches with relatively pale macules with a background cyanosis.
case_images: 10.1177_2050313X231152062-fig3.jpg
case_images: PMC9926387_03_10.1177_2050313X231152062-fig3.jpg
case_images: fig3-2050313X231152062
case_images: 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)).