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Bascule syndrome associated with syncopal episodes.
José M Martín1,2, Catalina Torres1, Pilar Cordero1
1Department of Dermatology, Hospital Clinico Universitario, Valencia, Spain.
Bascule syndrome, a benign skin condition, may be linked to exercise-induced fainting. Doctors should check for orthostatic intolerance or POTS in patients with Bascule syndrome.
Area of Science:
- Dermatology
- Cardiology
- Pediatrics
Background:
- Bascule syndrome is a rare, benign vasomotor dermatosis.
- It presents with Bier spots, cyanosis, and urticaria-like rashes.
Observation:
- A 13-year-old girl presented with skin lesions characteristic of Bascule syndrome.
- She also experienced three episodes of fainting related to physical activity.
Findings:
- The case suggests a potential association between Bascule syndrome and exercise-induced syncope.
- Cutaneous manifestations of Bascule syndrome may indicate underlying autonomic dysfunction.
Implications:
- Evaluating for orthostatic intolerance and postural orthostatic tachycardia syndrome (POTS) is recommended for patients diagnosed with Bascule syndrome.
- This approach may improve patient management and identify potential comorbidities.
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