Why Are My Fingernails Blue? (2024)

A low level or lack of oxygen circulating in your red blood cells can cause blue fingernails. Other causes can include chronic conditions and cold temperatures.

This condition is known as cyanosis. It occurs when there isn’t enough oxygen in your blood, making the skin or membrane below the skin turn a purplish-blue color.

The skin discoloration could also mean that there’s a high level of an atypical form of hemoglobin in your blood. Hemoglobin is the protein responsible for transporting oxygen in your blood.

Cold temperatures can also cause your fingernails to turn blue. That’s because cold temperatures force your blood vessels to constrict. The narrow pathways make it difficult for enough oxygen-rich blood to get to your nails.

If your usual nail color returns upon warming up or massaging your hands, the blue color may have been due to that part of your body not getting enough blood supply because of cold temperatures.

Blue fingers due to cold temperatures is a common response of the body to keep internal organs at the right temperature.

However, if fingernails remain blue, there may be an underlying condition or structural difference interfering with the body’s ability to deliver oxygen-rich blood.

Learn more about causes, treatment, and when to get help.

Health conditions involving the lungs, heart, blood cells, or blood vessels can cause the blue discoloration in your fingernails. Conditions that can cause cyanosis include the following:

Diseases of the lungs

Diseases of the heart

Atypical blood cells

Atypical blood vessels

A noninvasive pulse oximeter is the simplest way to measure the oxygenation of blood. Doctors draw arterial blood gases to measure how much oxygen is in your blood. This helps determine what factors might be contributing to blue fingernails.

Treatment involves first identifying the underlying cause to restore adequate oxygen to the blood.

Blue fingernails, or cyanosis, occur when your blood doesn’t have enough oxygen. It is most often caused by cold temperatures.

Occasionally, it can be caused by medical conditions. These include diseases of the lungs or heart, or atypical blood cells or vessels.

The diagnosis is typically noninvasive, and treatment depends on the underlying cause.

Why Are My Fingernails Blue? (2024)

FAQs

Why Are My Fingernails Blue? ›

Blue nails may indicate that the blood is not carrying enough oxygen to the fingertips. There are many possible causes, including heart and lung diseases. Anyone with blue nails should seek medical advice. In some cases, fingernails turn blue or purplish because of cyanosis, which can also affect the lips and skin.

What does it mean if your fingernails are slightly blue? ›

Blue fingernails, or cyanosis, occur when your blood doesn't have enough oxygen. It is most often caused by cold temperatures. Occasionally, it can be caused by medical conditions. These include diseases of the lungs or heart, or atypical blood cells or vessels.

What deficiency causes blue nails? ›

Nail changes in vitamin B12 deficiency present as hyperpigmentation of nails like bluish discoloration of nails, blue-black pigmentation with dark longitudinal streaks, and longitudinal and reticulate darkened streaks. The nail pigmentation associated with B12 deficiency is more frequent in patients with dark skin.

What is the cure for blue nails? ›

Treatment of cyanosis typically starts with addressing the underlying causes for the restricted blood flow. Your doctor may also recommend medications to relax your blood vessels, such as anti-hypertension medications and antidepressants.

Can stress cause blue nails? ›

Why does it happen? Raynaud's is usually triggered by cold temperatures, anxiety or stress. The condition occurs because your blood vessels go into a temporary spasm, which blocks the flow of blood. This causes the affected area to change colour to white, then blue and then red, as the bloodflow returns.

Can heart problems cause blue fingernails? ›

There are several reasons your nails could be blue, including heart conditions. Sometimes a heart murmur will cause blue nail beds. When a health-care provider listens to your heart and hears a certain swooshing sound, it's an indication that the blood is flowing through the heart abnormally.

What do liver failure nails look like? ›

Terry's nails is a type of nail discoloration. The nailbeds look “washed out,” except for a thin reddish-brown strip near the tip. Often, Terry's nails is a symptom of a chronic condition, such as liver failure or diabetes.

Do blue nails mean anything? ›

If you have blue or purple nail beds or fingernails, it may be due to an underlying condition known as cyanosis . This condition is caused by a lack of oxygen in the blood. Cyanosis can result from exposure to cold temperatures, certain lung and heart conditions, circulation problems, issues with hemoglobin, and more.

What do anemic fingernails look like? ›

Koilonychia is an abnormal shape of the fingernail. The nail has raised ridges and is thin and curved inward. This disorder is associated with iron deficiency anemia. Leukonychia is white streaks or spots on the nails often due to drugs or disease.

How do you prevent blue nails? ›

Preventing black-and-blue nails

You can prevent many nail problems by wearing the right shoes and trimming your nails properly. To help prevent infection, keep your feet clean and dry. If you have diabetes, talk with your healthcare provider before doing any foot self-care. The right shoes.

What to do when fingers turn blue? ›

A type known as peripheral cyanosis, or acrocyanosis, primarily affects the hands and feet. Sometimes cold temperatures can cause the narrowing of blood vessels and lead to blue-tinged skin. Warming or massaging the blue areas should return the necessary blood flow and color to the skin.

Is cyanosis life threatening? ›

Peripheral cyanosis is the bluish discoloration of the distal extremities (Hands, fingertips, toes), sometimes involving circumoral and periorbital areas. Mucous membranes are generally not involved. Peripheral cyanosis is rarely a life-threatening medical emergency.

Can blood pressure medication affect nails? ›

Some drugs such as D-penicillamine, gold, thiol-containing drugs, and bucillamine can cause nail discoloration, which resolves after discontinuation [8]. Nail infections and mycosis should be ruled out. Amlodipine is a dihydropyridine calcium channel blocker (CCB) used for hypertension and angina [3].

When should I be worried about blue nails? ›

Blue nails may indicate that the blood is not carrying enough oxygen to the fingertips. There are many possible causes, including heart and lung diseases. Anyone with blue nails should seek medical advice. In some cases, fingernails turn blue or purplish because of cyanosis, which can also affect the lips and skin.

What are COVID nails? ›

COVID nails are a possible symptom that may occur and persist weeks or months after COVID-19 infection, but what do COVID nails look like? Those changes may consist of dents, orange, red, or white discoloration, ridges, or Beau's lines—horizontal grooves across your nails.

What is the color of healthy nails? ›

Healthy nails are generally pink. Very pale nails may indicate illnesses, such as anemia, congestive heart failure or liver disease. Poor nutrition also may be a culprit. It's a good idea to get very pale nails checked by a doctor.

What do light blue nails mean? ›

What do 'light blue nails' mean on TikTok? Basically, if you've got blue nails, it means that you have a boyfriend, or you're taken. There's also a theory that when girls ask their boyfriends what colour they should get their nails done, they will apparently always say "light blue" or "baby blue".

What color is not normal for a healthy nail bed? ›

Healthy nails should look pink on the nail bed and white when grown off the nail bed. Any other color could be a sign of a deficiency or disease. For instance, clear, pale nails can be a sign of anemia or poor nutrition. White nails, also known as Terry's nails, are a sign of kidney disease, liver disease, or diabetes.

What causes tips of fingers to turn blue? ›

Peripheral cyanosis is when someone's hands, fingertips, or feet turn blue due to a lack of oxygen-rich blood. Some causes include Raynaud's disease, cardiovascular problems, and hypothermia.

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