Question: Dear Doctors of HealthCareMagic
After getting answers from dermatologists, I would kindly ask a surgeon with knowledge on vascular medicine and microcirculation for an opinion as this finding troubles me a lot.

The palms of my hands get a kind of mottled-red appearance. The redness is markedly pronunced especially in my left hand. Right hand is also mottled but much less red. This is never seen when I lay in bed, rarely seen indoors and mostly seen outdoors when I walk. It goes back pretty much to normal when I sit for a couple of minutes or raise my hands above heart level. I may had it for a long time butbecame worried only recently. It may be aggravated by warmer weater. I don't have any reticular changes on any other part of the body. I was wondering if it is livedo reticularis or Bier spots or some palmar erythema just my natural circulation pattern or some disease of the microcirculation. I am mostly scared of a summer presentation of acrocyanosis due to diseases that come with secondary acrocyanosis. I had very brief attacks of vasoconstriction in colder climate (blue nailfold, visible blue vessels in fingers, colder fingertips) but (according to my doctors) not to the extent of symptomatic acrocyanosis or Raynaud phenomenon. I have freshly diagnosed venous insufficiency in my legs (by dr Chandrakar of healthcaremagic and fully confirmed by my doctors at home). I was fairly obese (BMI 43 by Autumn 2015) and I've lost weight to BMI 33 currently.It may be worth of note, that these red parts (and whole fingers) are fully blanchable when touched.