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Blue toe syndrome
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Blue toe syndrome occurs when small clots, often from atherothrombotic microembolism (clots formed from fatty deposits in artery walls), partially block blood flow to the toes. This can cause transient focal ischemia and occasionally minor tissue loss, but generally does not affect the entire forefoot. Blue or violaceous toes can also result from trauma, cold-induced injury, disorders causing generalized cyanosis, reduced arterial blood flow, impaired venous drainage, or blood abnormalities. The terms "blue toe syndrome," "grey toe syndrome," and "purple toe syndrome" are often used interchangeably.
Diagnostic evaluation may include echocardiography, thoracic or abdominal CT or MRI, peripheral arterial imaging, blood tests for hypercoagulable states, and assessment for conditions that affect peripheral blood flow.
References
References
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- (1994). "Femoral artery hypoplasia and persistent sciatic artery with blue toe syndrome: a case report, histologic analysis and review of the literature". Int Angiol.
- (2016). "Blue Toe Syndrome as an Early Sign of Disseminated Intravascular Coagulation". Ann Dermatol.
- (January 2009). "Blue (or purple) toe syndrome". J. Am. Acad. Dermatol..
- (2009). "The Coral Reef Aorta: Diagnosis and Treatment Following CT.". Radiol. Case Rep..
- (Apr 2014). "Coral reef aorta, emergency surgical: case report and literature review". Einstein (Sao Paulo).
- (Nov 2000). "Coral reef aorta: a long-term study of 21 patients". Ann Vasc Surg.
- (2013). "Coral reef aorta: case report and review of the literature". Vascular.
- (Dec 1994). "Making the diagnosis when the patient has 'blue toes'". Geriatrics.
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