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Parenting > Infants Forum > Possibility of acrocyanosis
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Q: Possibility of acrocyanosis
asked by: DoctorQuestion on April 28th, 2009
My daughter is 14months old and she has been having blue/purple tinged skin "spells" for a couple months now. It occurs in her arms, legs, hands, feet, lower face, lips, cheeks (inside and outside cheeks), and a couple times on the skin under her eyes. It is never warmer or colder than usual, she doesnt have any trouble breathing that i have noticed at all, it happens almost every morning during breakfast and last till after. it also happens at other meal times, and sometimes just randomly. Though she is not crying or in any kind of pain when this happens, she is not as active as normal and she does seem "cranky".

I went to her pediatricain 2 times for this and they did a pulse oximetry, which came back normal- though she was not blue at the exact time of them taking it and chest x-ray that looked normal.

they told us go to the ER because they could do no more for us so we did and they seemed dismissive of the blue-ness because she had a cold at the time. They treated the cold a


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Dr. Goce Aleksovski , MD
replied on May 1st, 2009
Infants Answer A6460

It is hard to say what the blue/purple tinged skin “spells” are without seeing them. It is likely that the normal results from the pulse oximetry ruled out central cyanosis. Acrocyanosis might be a possible diagnosis. The control of the body temperature in babies is not as effective as in adults due to immaturity of the nervous system. That might be the reason that she is not colder when this happens.
However, you might want to take a picture of her when this happens and then take it to a doctor in order to have them see it.




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