Chronic idiopathic acrocyanosis

Acrocyanosis is an uncommon condition characterized by symmetric coolness a nd violaceous discoloration of the hands and feet. The nose, ears, lips, an d nipples are also often affected, The disease is temperature dependent and generally worsens with cold exposure. Acrocyanosis is often secondary to a variety of underlying causes. We present a very interesting case of a 44-y ear-old woman with almost lifelong idiopathic acrocyanosis, Differential di agnoses are discussed in this article.