Blue limbs (the importance of history and examination)BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7461.349 (Published 05 August 2004) Cite this as: BMJ 2004;329:349
- Oana Predescu (firstname.lastname@example.org), research fellow
- Northwick Park Hospital and Institute for Medical Research, Harrow
I have come across an unusual hospital presentation of “blue limbs” three times in my years of practice, though the incidence in the population is likely to be high.
As a surgical house officer, I encountered the condition twice within a couple of weeks. On the first occasion I was covering the wards when I was bleeped regarding a patient who had developed blue hands. A rare problem, I thought, and a number of possible medical and severe scenarios ran through my head. As I approached the ward, I expected to find a case of either Raynaud's syndrome or a rather ill patient, perhaps cyanosed or with superior vena cava …