RT Book, Section
A1 Kurklinsky, Andrew K.
A2 Dean, Steven M.
A2 Satiani, Bhagwan
A2 Abraham, William T.
SR Print(0)
ID 1105292263
T1 ACROCYANOSIS
T2 Color Atlas and Synopsis of Vascular Diseases
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749541
LK accesscardiology.mhmedical.com/content.aspx?aid=1105292263
RD 2024/04/23
AB A  40-year-old  woman  presents  with  a  complaint  of  painless  blue  discoloration  of  both  hands  and  feet  (Figure  76-1).  The  color  changes  are  persistent,  although  their  intensity  seems  to  be  greater  with  cold  exposure.  While  the  color  improves  in  the  summer,  she  experiences  increased  sweating  of  hands  and  feet.  She  has  no  significant  medical  history  and  takes  no  medications.  Extensive  medical  workup  has  been  unrevealing.  The  blue  color  resolves  almost  entirely  when  her  hands  or  feet  are  elevated  in  a  supine  position  for  a  few  minutes.  Pressing  the  blue  skin  elicits  blanching;  when  released,  the  color  refills  in  an  irregular  fashion  from  the  periphery  to  the  center.