Symptoms and Signs – Differential Diagnosis of Cutaneous Color Changes
BROWN • Generalized: pituitary, adrenal, liver disease; adrenocorticotropic hormone (ACTH) producing tumor (e.g., oat cell lung carcinoma) • Localized: nevi, neurofibromatosis WHITE • Generalized: albinism • Localized: vitiligo, Raynaud’s syndrome RED (ERYTHEMA) • Generalized: fever, polycythemia, urticaria, viral exanthems • Localized: inflammation, infection, Raynaud’s syndrome YELLOW • Generalized: liver disease, chronic renal disease, anemia • Generalized (except sclera): hypothyroidism, increased intake of vegetables containing carotene • Localized: resolving hematoma, infection, peripheral vascular insufficiency BLUE • Lips, mouth, nail beds: cardiovascular and pulmonary diseases, Raynaud’s syndrome
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