Last Updated: 2019-08-27
- Crocq 1896
Discoloration of the acra (blue-white) due to reduced blood supply (cyanosis).
- Cyanotic (oxygen-poor) blood remains in the venous capillary legs and venules. Arterioles are constricted. This leads to a lack of oxygen. Reasons for this include:
- Genetic disposition
- Vegetative dysregulation of microcirculation
- Nerve-related disorders
- Association: Livedo reticularis.
- Whitish bluish skin discoloration. Numbness is described.
- Medical history
- Above all, the acra are affected.
- Verrucae vulgaris
- Mycotic infections
- This often leads to a suspension of symptoms in middle age.
- Education about harmlessness.
- Protection against the cold
- Vascular training (alternating baths)
- Nicotine parental leave.
- If necessary ASA 100 mg 1x daily
- Topical nicotinic acid derivatives 2x daily
 Heidrich H. Functional vascular diseases: Raynaud's syndrome, acrocyanosis and erythromelalgia. Vasa. 2010;39; 33-41.
 Kurklinsky AK, Miller VM, Rooke TW. Acrocyanosis: the Flying Dutchman. Vasc Med. 2011;16; 288-301.
 Planchon B, Becker F, Carpentier PH, Lazareth I, Le Devehat C, Levesque H, et al. [Acrocyanosis: changing concepts and nosological limitations]. J Mal Vasc. 2001;26; 5-15.