Bier spots (BS) were first described in 1898 by Bier and detailed research by Lewis in 1927 [1,2]. There is no certain information about prevalence [2]. It is usually seen in people 20 to 40 years old young adults and is more common in women than man. Pediatric cases were reported [2]. BS are also called physiologic anemic macules, angiospastic macules, exaggerated physiologic speckled mottling...