[20F] Experiencing cold extremities with color changes and nerve pain

Patient Description

A 20-year-old female has been experiencing cold sensations in her extremities, particularly starting from the fingertips and toes and spreading up the legs, for about seven months. The extremities turn blue or purple when cold. She also reports an aching sensation throughout her body, severe pain in her arms and legs, and sudden temperature changes from very cold to very hot. Additionally, she described lines of pain that feel like they are in the nerves of her arms. She was diagnosed with hypermobility one to two months ago and has a family history of autoimmune diseases or conditions affecting blood vessels or circulation. The patient is allergic to penicillin and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Raynaud's Disease: This condition causes some areas of your body, such as your fingers and toes, to feel numb and cold in response to cold temperatures or stress. It's often associated with color changes in the skin due to spasms in the blood vessels, and can cause a blue or purple appearance.

    • Treatment typically involves lifestyle changes to avoid triggers, such as cold temperatures, and medications to improve blood flow.
  • Peripheral Neuropathy: This results from damage to your peripheral nerves and can cause pain, numbness, and coldness in your hands and feet. It can also cause muscle weakness and loss of coordination.

    • Treatment typically involves managing the underlying cause, if known, and medications to manage symptoms.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. It can cause aching throughout the body and sensitivity to temperature changes.

    • Treatment typically involves a combination of medications, exercise, stress-reducing measures, and cognitive behavioral therapy.

Please note that these are possible explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Make an appointment with your doctor to discuss your symptoms. They may refer you to a specialist, such as a rheumatologist or neurologist, for further evaluation.
  2. Keep a symptom diary. Note when your symptoms occur, what you're doing at the time, and how long they last. This can provide useful information for your doctor.
  3. Try to keep your extremities warm. Wear gloves and warm socks, and avoid cold temperatures when possible.
  4. Engage in regular physical activity and maintain a healthy diet. These can help improve circulation and overall health.

What you should look out for

Please seek immediate medical attention if:

  • You experience severe pain, weakness, or numbness in your extremities.
  • Your symptoms are accompanied by chest pain or difficulty breathing.
  • Your symptoms worsen or do not improve with home care measures.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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8 mo ago

People Also Ask


What is Raynaud's Disease and how can it affect my extremities?

Raynaud's Disease is a condition where small blood vessels in the extremities, such as fingers and toes, spasm in response to cold or stress, leading to numbness, cold sensations, and color changes like blue or purple. Management includes avoiding cold triggers and possibly using medications to improve blood flow.


How does peripheral neuropathy cause symptoms like pain and numbness?

Peripheral neuropathy involves damage to peripheral nerves, leading to symptoms such as pain, numbness, and coldness in the hands and feet. It can also cause muscle weakness and coordination issues. Treatment focuses on managing the underlying cause and alleviating symptoms with medications.


What are the common symptoms of fibromyalgia and how is it managed?

Fibromyalgia is characterized by widespread musculoskeletal pain, fatigue, and sensitivity to temperature changes. It can also affect sleep, memory, and mood. Management typically includes medications, exercise, stress reduction, and cognitive behavioral therapy.


How can hypermobility be related to my current symptoms?

Hypermobility can be associated with connective tissue disorders, which might contribute to symptoms like joint pain and instability. It can also be linked to conditions affecting circulation or nerve function, potentially explaining some of the symptoms experienced.


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Anonymous#26647

7 mo ago

These symptoms also doing eerily family to my husband’s chief complaints. It took us nearly seven years for a diagnosis of idiopathic syringomyelia. Considering the mention of a recent hyperbolic diagnosis and family history of auto immune diseases, with no medical education-just personal experience, I would recommend asking about imaging being done to look for a syrinx in the spine or brain stem. peripheral neuropathy is one of my husbands prime symptoms, and I felt compelled enough to write all this out!

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