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Cyanosis is the change of body tissue color to a bluish-purple hue, as a result of decrease in the amount of oxygen bound to the hemoglobin in the red blood cells of the capillary bed. [1] Cyanosis is apparent usually in the body tissues covered with thin skin, including the mucous membranes, lips, nail beds, and ear lobes. [1]
Paul Karason (November 14, 1950 – September 23, 2013) was an American from Bellingham, Washington, whose skin was a purple-blue color. [1]Karason was fair skinned and freckled until the early 1990s.
Argyria or argyrosis is a condition caused by excessive exposure to chemical compounds of the element silver, or silver dust. [1] The most dramatic symptom of argyria is that the skin turns blue or blue-gray, and is usually most prominent in sun-exposed areas of the skin.
Jackson was diagnosed with the skin disorder vitiligo, which results in white patches on the skin and sensitivity to sunlight. To treat the condition, he used fair-colored makeup [3] and skin-lightening prescription creams [4] [5] to cover up the uneven blotches of color caused by the illness. The creams would have further lightened his skin.
It is a settling of the blood in the lower, or dependent, portion of the body postmortem, causing a purplish red discoloration of the skin. When the heart stops functioning and is no longer agitating the blood, heavy red blood cells sink through the serum by action of gravity.
There are also a number of other conditions that affect hands, feet, and parts of the face with associated skin color changes that need to be differentiated from acrocyanosis: Raynaud phenomenon, pernio, acrorygosis, erythromelalgia, and blue finger syndrome. The diagnosis may be challenging in some cases, especially when these syndromes co-exist.
Both of these conditions cause cyanosis, or a bluish discoloration of skin or mucous membranes. [4] Normally, oxygenated blood appears red and deoxygenated blood has more of a blue appearance. [5] In babies with low levels of oxygen or mixing of oxygenated and deoxygenated blood, the blood can have a blue or purple color, causing cyanosis. [6]
Livedo reticularis is a common skin finding consisting of a mottled reticulated vascular pattern that appears as a lace-like purplish discoloration of the skin. [1] The discoloration is caused by reduction in blood flow through the arterioles that supply the cutaneous capillaries, resulting in deoxygenated blood showing as blue discoloration ().