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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes swelling in the fingers with blue discoloration when the platelet count in blood is low?

Answered by
Dr.
Dr. Raju A.T

General & Family Physician

Practicing since :2008

Answered : 3939 Questions

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Posted on Wed, 1 Aug 2018 in Internal Doctor Category
Question: Hi Dr.

My father has got his index finger swelled up in both the hands. Both the fingers have turned blue. We also got his blood investigation, the platelets are around 84 L which is on the lower side. Please let me know the reason behind this and also suggest what needs to be done.

Just wanted to bring to your notice that the weather is quiet cold here. He usually drives scooter. Let me know if this is due to cold weather.
doctor
Answered by Dr. Raju A.T 1 hour later
Brief Answer:
Need some more details

Detailed Answer:
Hi,

Thanks for your query.

I would like to know

Whether he has fever ?
Is the swelling increasing over time ?
Are any other joints of the body affected ?
Does he have pain and tenderness in the the affected fingers ?

Waiting for your response,


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Raju A.T 6 hours later
No, he doesn't have fever. It has been 25 days the fingers are swelled up. No pain in the joints but the finger pains when it is pressed. Looks like clotting in nails. We also got sugar checked which is normal.
doctor
Answered by Dr. Raju A.T 23 hours later
Brief Answer:
Needs investagations

Detailed Answer:
Hi,

Sorry for the delayed information.

Thanks for the information.

You may have to get certain investigations to identify the cause of the both side index finger swelling.
Complete blood count
RA factor
Uric acid

Get the above investigations and forward me the reports.

Will be waiting.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Raju A.T 2 hours later
please find the attached report. We got his blood test from another pathology.
doctor
Answered by Dr. Raju A.T 18 hours later
Brief Answer:
Gout

Detailed Answer:
Hi,

Thanks for the report.

Uric acid is high. This can result in gout where small joints or the hand or feet may get inflamed and swollen.

There are medications which will reduce the uric acid levels from the blood, which can reverse the index finger problem.

Do consult an Orthopedician for the prescription.

Wish you good health.

Regrads.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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