Skin blood flow increases with heat stimulation on the shell or of the central thermoreceptors. In skin areas containing arteriovenous anastomoses (AVA's), e.g., fingers, toes, and ears [5], this increase in skin blood flow is due to the release of vasoconstrictor tone through the sympathetic nervous system [37]. When such areas of the skin are warmed locally, however, the level of local blood flow becomes even higher than before; thus, the local and reflex effects of heat are additional to the thermoregulatory vasodilating response [43]. There is, nevertheless, an exception to this general statement. When the environmental temperature exterior to the skin becomes higher than body core temperature, skin vasodilatation will increase heat gain and hence enhance hyperthermia. From this consideration, one is tempted to look more closely at skin blood flow when the skin is exposed to extremely high exterior temperatures. This review will outline recent studies on this particular vascular response of the skin, both in humans and in animals.