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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Blue Discoloration Of The Finger Along With Pain Due To Lupus?

Last year I had gangrene on my middle finger it was black very painful I had it removed now I started with my right index. turning blue and purple what looks like a blizzard. I have Lupus and RA does that have anything to do with it. It s so painful i don t understand y this is happening
Mon, 16 Apr 2018
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General & Family Physician 's  Response
Hello,

Bluish discoloration of the fingers is due to either Raynaud's disease, or Raynaud's phenomenon secondary to autoimmune diseases. Raynaud's disease is benign, affects fingers of both hands (symmetrical) and is often familial. Whereas Raynaud's phenomenon can cause ulceration and necrosis (death) of the tissue (finger). It is quite possible that your condition is secondary either to lupus or rheumatoid arthritis.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Nauman Wazir
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Rheumatologist Dr. Priya Sadanandan's  Response
Hello,

You most likely have Raynaud's phenomenon. Please ask your doctor to start you on medication such as calcium channel blockers or topical nitroglycerin ointment 2%, small amount mixed with Lidocaine. Also good to get a doppler study of the hands and arm.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Priya Sadanandan
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Is Blue Discoloration Of The Finger Along With Pain Due To Lupus?

Hello, Bluish discoloration of the fingers is due to either Raynaud s disease, or Raynaud s phenomenon secondary to autoimmune diseases. Raynaud s disease is benign, affects fingers of both hands (symmetrical) and is often familial. Whereas Raynaud s phenomenon can cause ulceration and necrosis (death) of the tissue (finger). It is quite possible that your condition is secondary either to lupus or rheumatoid arthritis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nauman Wazir