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Acrocyanosis

Medical expert of the article

Dr. Leonid STERNIK

Cardiologist, cardiac surgeon

Alexey Kryvenko, medical expert
Last reviewed: 07.07.2025

Acrocyanosis is a persistent, painless, symmetrical cyanosis of the hands, feet, or face caused by vasospasm of small blood vessels in the skin in response to cold.

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Symptoms of acrocyanosis

Acrocyanosis is usually found in women and is not associated with occlusive disease of the extremities. The fingers or toes are constantly cold, cyanotic, sweat heavily, and may swell. In acrocyanosis, unlike Raynaud's phenomenon, cyanosis is very persistent. There are no trophic changes or ulcers, there is no pain, and the pulse is normal.

Treatment of acrocyanosis

Treatment other than general care and avoidance of cold episodes is usually not indicated. Vasodilators may be used, but are usually ineffective.