Acrocyanosis – A Symptom with Many Facettes
DOI:
https://doi.org/10.3889/oamjms.2018.035Keywords:
Acrocyanosis, hands and feet, vascular disorders, Raynaud syndrome, Connective tissue diseases, Adverse drug reactions, TumorsAbstract
Acrocyanosis is an uncommon complaint belonging to the acro-syndromes. It typically presents with coolness and bluish discolourations of hands, feet, ears, nose, lips and nipple. The most frequently affected parts of the body are the hands. This review discusses physical factors, vascular disorders, infectious diseases, haematological disorders, solid tumours genetic disorders, drugs, eating disorders, and spinal disease presenting as or leading to acrocyanosis.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Kurklinsky AK, Miller VM, Rooke TW. Acrocyanosis: the Flying Dutchman. Vasc Med. 2011; 16(4):288-301. https://doi.org/10.1177/1358863X11398519 PMid:21427140 PMCid:PMC3156491
Sampogna F, Camaioni DB, Giampetruzzi AR, Corona R, Ruzzi L, Silvestri L, Didona B. Chronic idiopathic acrocyanosis and methylenetetrahydrofolate reductase C677T (p.Ala222Val) and A1298C (p.Glu429Ala) polymorphisms. Eur J Dermatol. 2013; 23(3):356-61. PMid:23816603
Wollina U. Thermal and mechanical skin injuries. CME Dermatol. 2009; 4(1):4–18.
Singh LC. High altitude dermatology. Indian J Dermatol. 2017; 62(1):59-65. https://doi.org/10.4103/0019-5154.198050 PMid:28216727 PMCid:PMC5286755
Linnemann B, Erbe M. Raynaud's phenomenon - assessment and differential diagnoses. Vasa. 2015; 44(3):166-77. https://doi.org/10.1024/0301-1526/a000426 PMid:26098320
Wollina U, Verma SB. Acute digital gangrene in a newborn. Arch Dermatol. 2007; 143(1):121-2. https://doi.org/10.1001/archderm.143.1.121 PMid:17224560
Wollina U, Hein G. Lupus erythematosus: uncommon presentations. Clin Dermatol. 2005; 23(5):470-9. https://doi.org/10.1016/j.clindermatol.2005.01.017 PMid:16179181
Ahrazoglu M, Moinzadeh P, Hunzelmann N. [Differential diagnoses of Raynaud's phenomenon]. Dtsch Med Wochenschr. 2014; 139(20):1064-9. https://doi.org/10.1055/s-0034-1370036 PMid:24801303
Kellar J, Trigger C. Thoracic outlet syndrome with secondary Paget Schröetter Syndrome: a rare case of effort-induced thrombosis of the upper extremity. West J Emerg Med. 2014; 15(4):364-5. https://doi.org/10.5811/westjem.2014.4.21521 PMid:25035731 PMCid:PMC4100831
Norinsky AB, Espinosa J, Kianmajd M, DiLeonardo F. Painless acrocyanosis: Paget-Schroetter syndrome secondary to thoracic outlet obstruction from muscle hypertrophy. Am J Emerg Med. 2016; 34(7):1323.e1-3. https://doi.org/10.1016/j.ajem.2015.11.050 PMid:26763826
Gheita TA, Samad HM, Mahdy MA, Kamel AB. Pattern of primary vasculitis with peripheral ischemic manifestations: report of a case series and role of vascular surgery. Curr Rheumatol Rev. 2014; 10(2):126-30. https://doi.org/10.2174/1573397110666150120103559 PMid:25599681
Evans-Gilbert T. Chikungunya and neonatal immunity: Fatal vertically transmitted Chikungunya infection. Am J Trop Med Hyg. 2017; 96(4):913-915. https://doi.org/10.4269/ajtmh.16-0491
Penouil MH, Estève E, Millotte B, Bressieux JM. [Parvovirus B19 atypical acrosyndrome]. Ann Dermatol Venereol. 1997; 124(3):254-6. PMid:9686060
Cormier-Lebreton MN, Célérier P, Pasquiou C. [Autochthonal leprosy]. Ann Dermatol Venereol. 1995; 122(9):606-8. PMid:8745686
Wollina U, Boldt S, Heinig B, Schönlebe J. Atypical acrodermatitis chronica atrophicans Herxheimer. Clin Res Dermatol Open Access. 2015; 2(2):1-3. https://doi.org/10.15226/2378-1726/2/3/00122
Gregory GP, Farrell A, Brown S. Cold agglutinin disease complicated by acrocyanosis and necrosis. Ann Hematol. 2017; 96(3):509-510. https://doi.org/10.1007/s00277-016-2905-6 PMid:28050677
Lesesve JF. Acrocyanosis revealing chronic lymphocytic leukemia. Clin Case Rep. 2016; 4(4):404-5. https://doi.org/10.1002/ccr3.529 PMid:27099738 PMCid:PMC4831394
Solak Y, Aksoy S, Kilickap S, Celik I. Acrocyanosis as a presenting symptom of Hodgkin lymphoma. Am J Hematol. 2006; 81(2):151-2. https://doi.org/10.1002/ajh.20479 PMid:16432859
Cozzani E, Iurlo A, Merlo G, Cattaneo D, Burlando M, Pierri I, Gugliotta L, Parodi A. Essential thrombocythemia: The dermatologic point of view. Clin Lymphoma Myeloma Leuk. 2015; 15(12):739-47. https://doi.org/10.1016/j.clml.2015.08.086 PMid:26432058
Marinho FS, Pirmez R, Nogueira R, Cuzzi T, Sodré CT, Ramos-e-Silva M. Cutaneous manifestations in POEMS syndrome: Case report and review. Case Rep Dermatol. 2015; 7(1):61-9. https://doi.org/10.1159/000381302 PMid:26034475 PMCid:PMC4448059
Kumar P, Ghosh S, Tanwar HS, Gupta AK. Acrocyanosis in a young adult: a rare presentation of extra-adrenal pheochromocytoma. BMJ Case Rep. 2014; 2014. pii: bcr2013202845.
Hari Kumar KV, Kumar A, Tomar D, Gupta AK. Acrocyanosis with intrahepatic carcinoid tumor. Indian Dermatol Online J. 2014; 5(2):221-3. https://doi.org/10.4103/2229-5178.131139 PMid:24860770 PMCid:PMC4030363
Spinelli GP, Miele E, Lo Russo G, Rossi B, Tomao S. Acrocyanosis, digital ischemia and acronecrosis as first manifestations of endometrial adenocarcinoma: Case presentation and literature review. Int J Gynecol Clin Pract. 2016; 2:113. https://doi.org/10.15344/2394-4986/2016/113
Poszepczynska-Guigné E, Viguier M, Chosidow O, Orcel B, Emmerich J, Dubertret L. Paraneoplastic acral vascular syndrome: epidemiologic features, clinical manifestations, and disease sequelae. J Am Acad Dermatol. 2002; 47(1):47-52. https://doi.org/10.1067/mjd.2002.120474 PMid:12077580
Yarbrough K, Danko C, Krol A, Zonana J, Leitenberger S. The importance of chilblains as a diagnostic clue for mild Aicardi-Goutières syndrome. Am J Med Genet A. 2016; 170(12):3308-3312. https://doi.org/10.1002/ajmg.a.37944 PMid:27604406
Yiş U, Polat İ, Karakaya P, Ayanoğlu M, Hiz AS. Importance of acrocyanosis in delayed walking. J Pediatr Neurosci. 2015; 10(1):80-1. PMid:25878756 PMCid:PMC4395958
Das S, Maiti A. Acrocyanosis: an overview. Indian J Dermatol. 2013; 58(6):417-20. https://doi.org/10.4103/0019-5154.119946 PMid:24249890 PMCid:PMC3827510
Jorquera-Barquero E, Súarez-Marrero MC, Fernández Girón F, Borrero MartÃn JJ. Oxalosis and livedo reticularis. Actas Dermosifiliogr. 2013; 104(9):815-8. https://doi.org/10.1016/j.ad.2012.04.019 PMid:23103120
Fleming C, Rennie A, Fallowfield M, McHenry PM. Cutaneous manifestations of fucosidosis. Br J Dermatol. 1997; 136(4):594-7. https://doi.org/10.1111/j.1365-2133.1997.tb02149.x PMid:9155966
Wollina U, Hansel G, Gruner M, Schönlebe J, Heinig B, Köstler E. Painful ANA-positive scleroderma-like disease with acral ulcerations: a case of chronic gangrenous ergotism. Int J Low Extrem Wounds. 2007; 6(3):148-52. https://doi.org/10.1177/1534734607305308 PMid:17909173
Cifuentes M D, Blanco L S, RamÃrez F C. [Ergotism due to simultaneous use of ergot alkaloids and high activity antiretroviral therapy]. Rev Med Chil. 2016; 144(6):807-12. https://doi.org/10.4067/S0034-98872016000600017 PMid:27598502
Zhang X, Jin J, Cai C, Zheng R, Wang Y, Xu Y. Amphotericin B liposome-induced acrocyanosis and elevated serum creatinine. Indian J Pharmacol. 2016; 48(3):321-3. https://doi.org/10.4103/0253-7613.182889 PMid:27298506 PMCid:PMC4900009
Ozaras R, Yemisen M, Mete B, Mert A, Ozturk R, Tabak F. Acrocyanosis developed with amphotericin B deoxycholate but not with amphotericin B lipid complex. Mycoses. 2007; 50(3):242. https://doi.org/10.1111/j.1439-0507.2007.01360.x PMid:17472626
Masuda H, Mori M, Araki N, Kuwabara S. Bilateral foot acrocyanosis in an interferon-β-treated MS patient. Intern Med. 2016; 55(3):319. https://doi.org/10.2169/internalmedicine.55.6251 PMid:26831034
Yildirim B, Karagoz U, Acar E, Beydilli H, Nese Yeniceri E, Tanriverdi O, Alatas OD, Kasap Åž. A case report of prilocaine-induced methemoglobinemia after liposuction procedure. Case Rep Emerg Med. 2015; 2015:282347. https://doi.org/10.1155/2015/282347
Karabacak K, Kadan M, Kaya E, Durgun B, Arslan G, Doganci S, Bolcal C, Demirkilic U. Oxaliplatin induced digital ischemia and necrosis. Case Rep Vasc Med. 2015; 2015:248748. https://doi.org/10.1155/2015/248748
Strumia R. Skin signs in anorexia nervosa. Dermatoendocrinol. 2009; 1(5):268-70. https://doi.org/10.4161/derm.1.5.10193 PMid:20808514 PMCid:PMC2836432
Mitchell JE, Crow S. Medical complications of anorexia nervosa and bulimia nervosa. Curr Opin Psychiatry. 2006; 19(4):438-43. https://doi.org/10.1097/01.yco.0000228768.79097.3e PMid:16721178
Takahashi N, Kita K, Nagumo K, Yamanaka I, Hirayama K. ["Acro-erythro-cyanosis"--peculiar vasomotor symptoms due to cervical hernial myelopathy]. Rinsho Shinkeigaku. 1990; 30(2):151-6. PMid:2350926
Downloads
Published
How to Cite
Issue
Section
License
http://creativecommons.org/licenses/by-nc/4.0