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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blue Discoloration Of Hands?

The school nurse called me and said my healthy 14 year old daughter s hands were blue and warm. She checked her oxygen saturation level and it dipped to 75-79% while she was standing. When she sat down, her O2 level went back to 99%. No shortness of breath, tingling...no symptoms. Hands are still blue
Mon, 13 Apr 2015
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Pediatrician,  's  Response
Thank you for following up.Your daughter has acrocyanosis, caused insufficiency of blood flow and lack of oxygen. She needs to consult at vascular surgeon
1.The most common cause is Raynaud's syndrome due spasm of blood vessels
2.It can be symptom of heart failure, congenital heart disease.
3.Etilmalonic aciduria
4.It can indicate side effects of some drugs
Treatment depends from cause,if it is cold weather you wear gloves, Raynaud's syndrome-antipasmodic ,Vitamin PP-nivotinic acid, if heart problems-consulting of cardiologist. Please check her analysis of blood,ECG,ultrasound of heart
Best regards
Dr.Svetlana
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What Causes Blue Discoloration Of Hands?

Thank you for following up.Your daughter has acrocyanosis, caused insufficiency of blood flow and lack of oxygen. She needs to consult at vascular surgeon 1.The most common cause is Raynaud s syndrome due spasm of blood vessels 2.It can be symptom of heart failure, congenital heart disease. 3.Etilmalonic aciduria 4.It can indicate side effects of some drugs Treatment depends from cause,if it is cold weather you wear gloves, Raynaud s syndrome-antipasmodic ,Vitamin PP-nivotinic acid, if heart problems-consulting of cardiologist. Please check her analysis of blood,ECG,ultrasound of heart Best regards Dr.Svetlana