
A blue cast under the nails can be a sign of a number of health issues. The most common cause is a lack of oxygen in the blood, which can be caused by cold temperatures or poor circulation. This condition is called cyanosis and can be treated with warm foot protection. However, there are other potential causes, including argyria (silver poisoning), Hepatolenticular degeneration (Wilson's disease), Raynaud's disease, septicemia (blood poisoning), lung or breathing troubles, a high percentage of abnormal form of haemoglobin in the blood, occupational hazards, HIV infection or a side effect of certain medications.
| Characteristics | Values |
|---|---|
| Cause | Lack of oxygen in the blood, cold temperature, injury, lung conditions, medication, silver poisoning, Hepatolenticular degeneration, Raynaud's disease, septicemia, asthma, argyria, cellular blue nevus |
| Symptoms | Blue nails, blue skin, blue lips, blue fingers, blue toes, pain, numbness |
| Conditions | Azure lunula, cyanosis, Wilson's disease, blood poisoning, emphysema, chronic obstructive pulmonary disease, chronic bronchitis, HIV infection |
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What You'll Learn
- Blue nails can be a sign of poor circulation or not enough oxygen in the blood
- Blue nails can be a symptom of Raynaud's disease
- Blue nails can indicate argyria (silver poisoning)
- Blue nails can be a symptom of Hepatolenticular degeneration (Wilson's disease)
- Blue nails can be a sign of septicemia (blood poisoning)

Blue nails can be a sign of poor circulation or not enough oxygen in the blood
- Raynaud's disease
- Septicaemia (blood poisoning)
- Lung or breathing troubles, such as emphysema, chronic obstructive pulmonary disease, chronic bronchitis, or asthma
- Argyria (silver poisoning)
- Hepatolenticular degeneration (Wilson's disease)
- High levels of abnormal haemoglobin in the blood
- Occupational hazards
- HIV infection
- Side effects of certain medications
If you notice that your nails have a blue cast, you should contact a doctor for advice to rule out any underlying medical conditions.
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Blue nails can be a symptom of Raynaud's disease
Blue nails can also be a symptom of other conditions, such as argyria (silver poisoning), Hepatolenticular degeneration (Wilson's disease), septicemia (blood poisoning), lung or breathing troubles (including emphysema, chronic obstructive pulmonary disease, chronic bronchitis, or asthma), or a high percentage of abnormal forms of haemoglobin in the blood. In some cases, blue nails may be caused by occupational hazards, HIV infection, or as a side effect of certain medications.
It is important to note that blue nails can also be caused by cold temperatures, which can be prevented by wearing warm foot protection. If you notice that your nails have a bluish appearance, it is recommended to contact a doctor for advice to rule out any underlying medical conditions.
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Blue nails can indicate argyria (silver poisoning)
Blue nails can indicate argyria, or silver poisoning, which is caused by prolonged or high exposure to silver. Argyria is a rare condition that results in a bluish-grey staining of the skin. Nails with a bluish appearance may also suggest that the body isn't getting enough oxygen, which is a condition called cyanosis. This can be caused by cold temperatures, which cause the blood vessels to constrict, making it difficult for enough oxygen-rich blood to reach the skin under the nails. Cyanosis can also be caused by a number of other conditions, including Hepatolenticular degeneration (Wilson's disease), Raynaud's disease, septicemia (blood poisoning), lung or breathing troubles (including emphysema, chronic obstructive pulmonary disease, chronic bronchitis, or asthma), a high percentage of abnormal form of haemoglobin in the blood, occupational hazards, HIV infection or a side effect of certain medications. If you notice that your nails are blue, you should contact a doctor for advice to rule out any underlying medical conditions.
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Blue nails can be a symptom of Hepatolenticular degeneration (Wilson's disease)
Blue nails can be a symptom of Hepatolenticular degeneration, also known as Wilson's disease. Wilson's disease is a genetic disorder that causes the body to retain copper. The condition can lead to neurological and psychiatric symptoms, as well as liver disease. It is a rare disorder, affecting about one in 30,000 people worldwide.
Blue nails can be one of the first visible signs of Wilson's disease, along with a bluish tint to the skin and eyes. The blue colour is caused by a lack of oxygen in the blood, known as cyanosis. This can be a result of poor circulation or certain lung conditions, such as chronic obstructive pulmonary disease (COPD) or asthma.
In some cases, blue nails may be caused by silver poisoning (argyria) or a rare type of mole known as a cellular blue nevus. It is important to note that blue nails can also be a side effect of certain medications, such as those used to treat breast cancer.
If you notice that your nails have a blue cast, it is important to consult a doctor to rule out any underlying medical conditions.
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Blue nails can be a sign of septicemia (blood poisoning)
When the temperature gets cold, your blood vessels constrict, making it difficult for enough oxygen-rich blood to reach the skin under your nails. This can cause your nails to appear blue. However, it is actually the skin underneath your nails that is turning blue. Warm foot protection can prevent this from happening to your toes.
If just one nail is blue, this is likely due to an injury causing blood to collect under the nail. When all the nails are blue, this indicates cyanosis, which is a symptom of another condition rather than a condition in itself. Blue nails occur because there is not enough oxygen in the blood.
In rare cases, a blue spot under your toenail could be a blue nevus, a type of blue mole known as a cellular blue nevus, which can become malignant and should be biopsied.
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Frequently asked questions
This could be a sign of cyanosis, which is caused by poor circulation or too little oxygen in the blood. It could also be a sign of a lung condition, such as COPD or asthma. If you notice a blue cast under your nails, you should contact your doctor for advice.
This is likely due to an injury causing blood to collect under the nail.
This could be a blue nevus, which is a type of blue mole. In rare cases, this can become a malignant cellular blue nevus (MCBN) and should be biopsied.










































