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. 2023 Nov 28;25(3):122–124. doi: 10.18176/resp.00078

Table 1. Aetiology of signs of blue toe syndrome.

1. Reduced arterial flow:
1.1. Embolism:
Atheroembolism.
Arterial aneurysms.
Cardiac or aortic tumour.
Myxoma, intimal angiosarcoma of the aorta.
Cardiac vegetation.
Infectious endocarditis.
Non-infectious thrombotic endocarditis.
1.2. Thrombosis:
Antiphospholipid syndrome.
Neoplasia (acral vascular paraneoplastic syndrome).
Thrombotic Thrombocytopenic purpura.
Disseminated intravascular coagulation.
Cutaneous necrosis caused by anticoagulants.
1.3. Disorders with vasoconstriction:
Acrocyanosis.
Chilblains.
Lupus pernio erythematosus.
Medication that causes vasoconstriction.
Drugs (cocaine, amphetamines).
1.4. Infectious and non-infectious inflammation:
Syphilis, SARS-Cov-2.
Purulent infections.
Behçet disease.
Thromboangiitis obliterans.
Other forms of vasculitis.
1.5. Other vascular obstructions:
Calcified Vascular disease. Calciphylaxis
2. Reduction of venous return:
2.1. Extensive venous thrombosis:
Phlegmasia cerulea dolens and venous gangrene.
3. Changes in blood circulation:
3.1. Hyperviscosity induced by paraproteinemia.
3.2. Ferative myeloproliferative syndromes (polycythaemia vera, essential thrombocythemia).
3.3. Cryofibrinogenemia.
3.4. Cryoglobulinemia.
3.5. Cold agglutinins.