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Livedo reticularis is a common skin finding consisting of a mottled reticulated vascular pattern that appears as a lace-like purplish discoloration of the skin. [1] The discoloration is caused by reduction in blood flow through the arterioles that supply the cutaneous capillaries, resulting in deoxygenated blood showing as blue discoloration ().
Furthermore, mongolian spots, large birthmarks, and the consumption of food products with blue or purple dyes can also result in the bluish skin tissue discoloration and may be mistaken for cyanosis. [ 2 ] [ 3 ] Appropriate physical examination and history taking is a crucial part to diagnose cyanosis.
A venous lake (also known as phlebectasis [1]) is a generally solitary, soft, compressible, dark blue to violaceous, 0.2- to 1-cm papule commonly found on sun-exposed surfaces of the vermilion border of the lip, face and ears. [2] [3] [4] Lesions generally occur among the elderly. [5] [6]
Human blood in veins is not actually blue. Blood is red due to the presence of hemoglobin; deoxygenated blood (in veins) has a deep red color, and oxygenated blood (in arteries) has a light cherry-red color. Veins below the skin can appear blue or green due to subsurface scattering of light through the skin, and aspects of human color ...
Veins close to the surface of the skin appear blue for a variety of reasons. The factors that contribute to this alteration of color perception are related to the light-scattering properties of the skin and the processing of visual input by the visual cortex, rather than the actual colour of the venous blood which is dark red. [6]
There are also a number of other conditions that affect hands, feet, and parts of the face with associated skin color changes that need to be differentiated from acrocyanosis: Raynaud phenomenon, pernio, acrorygosis, erythromelalgia, and blue finger syndrome. The diagnosis may be challenging in some cases, especially when these syndromes co-exist.
The blue color of veins and tissues in cyanosis is due to the light-scattering effects of surrounding tissues. The same scattering effect also causes the blue color of the sky and large bodies of water. Blue is more lightly to be scattered while red absorbed. Deoxygenated blood is prone to this due to its dark color (less red penetrates the ...
Phlegmasia cerulea dolens (PCD) (literally: 'painful blue inflammation'), not to be confused with preceding phlegmasia alba dolens, is an uncommon severe form of lower extremity deep venous thrombosis (DVT) that obstructs blood outflow from a vein. Upper extremity PCD is less common, occurring in under 10% of all cases. [1]
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