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.

Why are my fingernails 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.

Are blue fingernails due to lack of oxygen? ›

Cyanosis is the medical term for when your skin, lips or nails turn blue due to a lack of oxygen in your blood. If you have darker skin, cyanosis may be easier to see in your lips, gums, nails and around your eyes. The word cyanosis comes from the word cyan. Cyan is a blue-green color.

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 do they say about blue nails? ›

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".

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.

Can anxiety cause blue fingernails? ›

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.

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.

Which diseases are associated with blue nails? ›

Conditions that cause blue nails
  • Lung diseases. Various lung conditions can result in the nails developing a blue tinge. ...
  • Heart diseases. Some cases of blue nails might be due to a heart condition, such as:
  • Blood cell and vessel abnormalities. Some issues relating to the blood cells and vessels can also cause blue nails.
Apr 22, 2021

What do fingernails look like with low oxygen levels? ›

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.

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 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.

What are COVID nails? ›

Dents, discoloration, grooves, or ridges may appear on your nails months after COVID-19 infection.

What does 💅 mean from a girl? ›

3. A 💅 indicates a sassy tone. Someone may use a 💅 to show that what they've sent is to be read in a bold and cheeky way. In this context, the emoji means “bougie.” X Research source This usage is especially popular on TikTok. “I'd rather be painting my nails than talking to you 💅”

When should I be worried about blue nails? ›

The causes of cyanosis can include chronic health conditions, heart disease, and anemia. If you often have blue nails, consider speaking with a healthcare professional to rule out any underlying health conditions.

Do guys like blue nails? ›

The TikTok-trending topic includes women asking men their opinion of the ideal nail color, concluding that a light or sky blue manicure was overwhelmingly the most approved hue by men. Though the experimental surveys don't align with the scientific method, there is some validity to the conclusions.

How do you treat a blue fingernail? ›

A doctor may perform a procedure called nail trephination to drain the blood from under the nail. This can help to relieve pain and pressure. The doctor will make a small hole in the nail with a laser or needle. Afterward, the area may be wrapped with a bandage and may continue to drain for up to 3 days.

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. All organs and tissues need oxygen to function. A person's body absorbs oxygen from the air that they breathe.

What vitamin deficiency causes vertical lines in fingernails? ›

Zinc deficiency can cause Beau's lines and white spots on your nails. Iron deficiency can cause vertical nail ridges and koilonychia (spoon nails). Spoon nails have a depression in the middle, like the center of your nail was scooped out. You may be able to hold a drop of water on your nail.

Top Articles
Latest Posts
Article information

Author: Barbera Armstrong

Last Updated:

Views: 5929

Rating: 4.9 / 5 (79 voted)

Reviews: 94% of readers found this page helpful

Author information

Name: Barbera Armstrong

Birthday: 1992-09-12

Address: Suite 993 99852 Daugherty Causeway, Ritchiehaven, VT 49630

Phone: +5026838435397

Job: National Engineer

Hobby: Listening to music, Board games, Photography, Ice skating, LARPing, Kite flying, Rugby

Introduction: My name is Barbera Armstrong, I am a lovely, delightful, cooperative, funny, enchanting, vivacious, tender person who loves writing and wants to share my knowledge and understanding with you.