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Dermatology · Vascular disorders: acrocyanosis
Sample itemA thin young woman has persistent, painless, symmetrical bluish discolouration of the hands that is worse in the cold and does not cause ulceration. What is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Acrocyanosis
Acrocyanosis is a benign persistent bluish discolouration of the hands and feet, worsened by cold and without episodic pallor or ulcers. It differs from Raynaud phenomenon, which is episodic with triphasic colour change. Reassurance and warm clothing are enough.
Option by option
A. Chilblains
Chilblains are tender inflammatory lesions after cold exposure.
B. Acrocyanosis (correct)
Correct. Persistent painless bluish hands indicate acrocyanosis.
C. Livedo reticularis
Livedo reticularis is a net-like pattern.
D. Raynaud phenomenon
Raynaud shows episodic pallor, cyanosis and rubor.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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