Síndrome del dedo azul: de la piel a lo multisistémico

Alejandro Echavarria Cross; Pablo Arango Guerra; María Pérez Restrepo; Andrés Chavarriaga Restrepo

doi:10.47196/rar.v33i3.676

Alejandro Echavarria Cross Universidad CES
Pablo Arango Guerra
María Pérez Restrepo
Andrés Chavarriaga Restrepo

DOI: https://doi.org/10.47196/rar.v33i3.676

Palabras clave: síndrome de dedo azul, isquemia, oclusión de vasos distales

Resumen

El signo del dedo azul (SDA) es una condición poco frecuente causada principalmente por la oclusión de la vasculatura periférica. Clínicamente puede manifestarse como una coloración azulada o eritrocianótica en uno o varios dedos en ausencia de traumatismo y condiciones propias de congelación. Las etiologías son múltiples e incluyen obstrucción del flujo arterial, disminución del flujo venoso y alteración en la viscosidad sanguínea. La importancia de reconocer el signo como motivo de consulta radica en encaminar un diagnóstico temprano e instaurar un tratamiento que evite la evolución natural de la enfermedad hacia la necrosis, amputación o muerte del paciente. Proponemos un algoritmo diagnóstico para reconocer los elementos de la historia clínica que guíen la etiología y los paraclínicos disponibles desde el Servicio de Urgencias.

Biografía del autor/a

Alejandro Echavarria Cross, Universidad CES

Facultad de Medicina, Universidad Centros de Estudios en Salud (CES), Medellín, Antioquia, Colombia

Pablo Arango Guerra

Facultad de Medicina, Universidad Centros de Estudios en Salud (CES), Medellín, Antioquia, Colombia

María Pérez Restrepo

Facultad de Medicina, Universidad Centros de Estudios en Salud (CES), Medellín, Antioquia, Colombia

Andrés Chavarriaga Restrepo

Servicio de Reumatología, Clínica Centros de Estudios en Salud (CES), Medellín, Antioquia, Colombia

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