Castillo-Santizo JJ, Alvarez-Pérez E, González-López A, Blanco-Rubio C, Ortega-Calvo M, et al. (2018) Blue Finger Syndrome in an Elderly Patient. J Fam Med Dis Prev 4:091.


© 2018 Castillo-Santizo JJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2469-5793/1510091

Blue Finger Syndrome in an Elderly Patient

Castillo-Santizo JJ1, Alvarez-Pérez E1, González-López A1, Blanco-Rubio C1, Ortega-Calvo M1,2* and Gabaldón-Rodríguez I1

1Family Physicians, "Las Palmeritas" Primary Care Health Center, Spain

2Medicine Department, Seville's University, Carlos III Health Institute, Spain


This article presents a case of an 88-year-old man who shows blue-violaceous discoloration on his fingers and toes, with a greater intensity on the third finger of right hand and the first, second and third toe of his right foot. The patient had been recently diagnosed with atrial fibrillation and met the criteria for oral anticoagulation with acenocoumarol, which had started two weeks earlier. When the treatment was discontinued, the bluish color of his fingers disappeared, for which reason the patient was concluded to present a rare adverse effect to treatment with dicumarin, making it necessary to replace it for another anticoagulant with a different mechanism of action.