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Diagnosis is made by observation of the main clinical symptoms, including persistently blue and sweaty hands and/or feet and a lack of pain. Cooling the hands increases the blueness, while warming the hands decreases the blue color. The acrocyanosis patient's pulse is normal, which rules out obstructive diseases. Raynaud's disease differs from acrocyanosis in that it causes white and red skin coloration phases, not just bluish discoloration.
— John T. Lohr, PhD




