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There are several reasons why this might be.

Often the most common reason is that the person is cold. When this happens the body constricts peripheral arteries in order to keep core temperature high. When this happens our extremities (arms, hands, feet) get deprived of warm, oxygenated blood. The blood in the extremities is then used more thoroughly, and the content of oxygen falls. When this happens, blood turns from normal bright red to a more bluish dark color. This is what makes the fingernails blue, when a person is cold. If the person gets colder, this same exact things can be spotted in the lips and ears of a person.

It can also be caused from a person having a bad heart or from respiratory problems (pneumonia ect.). With a bad heart, the blood is not pumped around the body as well, and again the blood in the extremities will have to be used more thoroughly - with the darker color and blue fingernails as result. In respiratory problems the heart is working fine, however the blood is not oxygenated well enough. This will have the same general result: a blueish color of fingernails, lips, ears and sometimes cheeks. The medical term for this is "Cyanosis" as in: "A person turns cyanotic".

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