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Cyanosis of the nail bed
 
Overview   Treatment   

Fingers that change color upon pressure

Alternative names:

blanching of the fingers

Home care:

Avoid smoking.

Avoid exposure to cold in any form. Wear mittens or gloves outdoors and when handling ice or frozen food. Avoid chilling, which may happen following any active recreational sport. Wear comfortable, roomy shoes and wool socks. When outside, always wear shoes.

Call your health care provider if:

  • fingers change color and the cause is not known.
  • fingers or toes turn black or the skin ulcerates.

What to expect at your health care provider's office:

The medical history will be obtained and a physical examination performed.

Medical history questions documenting change in finger color in detail may include:

  • time pattern
    • Did the fingers suddenly change color?
    • Has the color change occurred before?
    • Is this the first time that the fingers have changed color?

  • aggravating factors
    • Does cold or emotion cause the fingers to turn white (blanching)?
    • Does cold or emotion cause the fingers to turn blue (cyanosis)?

  • quality
    • The finger(s) change to what color?
    • Do they turn red?
    • Do they turn blue?
    • Do they turn white
    • Do they look black or gray?

  • aggravating factors
    • Did this occur after anesthesia?
    • Do you smoke?

  • other
    • What other symptoms are also present?
    • Is there finger pain?
    • Is there arm pain?
    • Is there a change in the texture of the skin?
    • Is there loss of hair on the arm or hands?

The physical examination will include thorough examination of the hands, arms, and fingers.

Diagnostic tests that may be performed include:

Intervention:
Vasodilator drugs to dilate small arteries and improve circulation may be prescribed. Surgery to sever the sympathetic nerves to the affected extremities (for Raynaud's phenomenon) is an option that may relieve symptoms for 1 or 2 years before they recur.

After seeing your health care provider:
You may want to add a diagnosis related to change in finger color to your personal medical record.


Adam

The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2000 adam.com, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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