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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Concerned About The Accrocyanosis In My 5 Month Old Baby?

My baby has just turned 5 months. He still gets slightly dusky hands and lower legs/feet fairly frequently. I know accrocyanosis is normal for a newborn but not sure if it is still normal at this age? It is not as noticable as when he was a newborn but I still notice it along with some mottleing. He also tends to have cold hands and feet despite being dressed warmly. He does not appear to have any symptoms of respiratory distress or any other symptoms. Sometimes I question if he might be slightly dusky around his mouth but my husband is not able to notice so I may just be over analysing looking for other symptoms.
Wed, 29 Jul 2015
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Pediatrician, Pulmonology 's  Response
Hi....I always tell even my students that mother is the best judge. Acrocyanosis should be there only at the peripheral parts like finger tips. But as you say even around the mouth the baby has this, its central cyanosis. If i were your pediatrician I would get an ECHOCARDIOGRAM of heart done without much delay, I suggest you also to do the same.
Regards - Dr. Sumanth
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Should I Be Concerned About The Accrocyanosis In My 5 Month Old Baby?

Hi....I always tell even my students that mother is the best judge. Acrocyanosis should be there only at the peripheral parts like finger tips. But as you say even around the mouth the baby has this, its central cyanosis. If i were your pediatrician I would get an ECHOCARDIOGRAM of heart done without much delay, I suggest you also to do the same. Regards - Dr. Sumanth