
Blue toenails can be caused by a number of factors, including cold temperatures, lung conditions, and underlying health issues. The skin underneath the nail turns blue due to a lack of oxygen-rich blood reaching it, which can be caused by constricted blood vessels or conditions such as chronic obstructive pulmonary disease (COPD) and asthma. In some cases, blue toenails may be a sign of Wilson's disease, a condition treated with drugs that remove copper from tissue.
| Characteristics | Values |
|---|---|
| Lack of oxygen in the blood | Blue nails show a lack of oxygen in the fingers, toes or both |
| Wilson's disease | The lunula of the nail can turn blue |
| Cold temperatures | Blood vessels constrict, making it difficult for oxygen-rich blood to reach the skin under the nails |
| Injury | Bruised, broken blood vessels cause the black and blue colours under the nail |
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What You'll Learn

Blue toe nails can be a sign of poor circulation
Blue toe nails can also be caused by an injury, such as a bruised or broken blood vessel. If you have injured your toe, your toe can be very painful. Your healthcare provider will talk to you about your symptoms and physical activities. They may press the area at the end of your toe to determine the extent of the pain. Your toe and foot will be examined for any signs of infection. If a fracture or a bone spur is suspected, you may need an X-ray.
In some cases, blue toe nails can be a sign of an underlying condition, such as Wilson's disease or a lung condition. Wilson's disease is commonly treated with drugs that help remove copper from tissue. Lung conditions that can cause blue toe nails include chronic obstructive pulmonary disease (COPD), emphysema, and chronic bronchitis. If you have blue toe nails and the discolouration is not easily explained, you should see a doctor.
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Blue toe nails can be caused by cold temperatures
If you have blue toe nails and the discolouration is not easily explained, for example by trauma, you could have an underlying condition. These conditions may include argyria, Raynaud's phenomenon, Wilson's disease, or blue nevus. If you suspect any of these conditions, see a doctor for a full diagnosis and recommended treatment plan.
To prevent your toe nails from turning blue in cold temperatures, wear warm footwear. This will help to prevent the blood from reaching the extremities and keep your internal organs at an optimal temperature. If you warm up your feet, your toe nails should return to their normal colour.
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Blue toe nails can be a sign of Wilson's disease
Blue toe nails can also be caused by cold temperatures, which cause blood vessels to constrict, making it difficult for enough oxygen-rich blood to reach the skin under your nails. This can lead to a condition called cyanosis, which is caused by a lack of oxygen in the blood. Cyanosis can also be caused by various lung conditions, such as chronic obstructive pulmonary disease (COPD), emphysema, and chronic bronchitis. In addition, injuries to the toe can result in black-and-blue nails due to bruised, broken blood vessels.
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Blue toe nails can be a sign of lung conditions
Blue toenails can be a sign of lung conditions. Blue nails show that the fingers, toes, or both are not getting enough oxygen. This can be caused by various lung conditions, including chronic obstructive pulmonary disease (COPD), which is an umbrella term for a group of progressive lung diseases that include emphysema and chronic bronchitis. Emphysema destroys the air sacs in the lungs, while bronchitis causes inflammation and narrowing of the bronchial tubes, leading to a buildup of mucus. Asthma is another lung condition that can cause blue toenails, as it causes the airways to narrow and swell, and it may also increase mucus production, potentially leading to a buildup.
In addition to lung conditions, blue toenails can also 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. This condition is called cyanosis and can also be caused by restricted blood flow or poor circulation.
Blue toenails can also be a sign of Wilson's disease (hepatolenticular degeneration), which causes the lunula of the nail to turn blue. The lunula is the white, rounded area at the base of the nails. Wilson's disease is commonly treated with drugs that help remove copper from tissue, such as trientine hydrochloride or D-penicillamine.
If you have blue toenails and the discoloration is not easily explained, for example, by trauma, you may have an underlying condition, and it is recommended that you seek medical advice.
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Blue toe nails can be caused by trauma or injury
Blue toe nails can also be caused by cold exposure. 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. Warm foot protection can prevent this from happening to your toes.
Various lung conditions can also result in the nails developing a blue tinge. These conditions include chronic obstructive pulmonary disease (COPD), emphysema and chronic bronchitis.
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Frequently asked questions
Blue toenails can be caused by a lack of oxygen in the blood, which is known as cyanosis. This can be caused by cold temperatures, vasospasms, or underlying lung conditions such as chronic obstructive pulmonary disease (COPD) or asthma.
Blue toenails can also be caused by trauma or injury to the toe, such as a fracture or repetitive injuries. In some cases, blue toenails can be a sign of Wilson's disease, which is a condition that affects the liver and brain.
If you notice that your toenails are blue and the discoloration is not easily explained, it is important to seek medical advice as it could indicate an underlying health condition.











































