Always cold hands and feet may indicate vascular problems if there are other symptoms
Patients often complain of cold feeling in the extremities (hands and feet). This sensation can be permanent or occur in episodes and sometimes it is accompanied by "tingling."
First, let's make one thing very clear, to avoid bringing unnecessary fear to readers: in the vast majority of cases, this discomfort is benign , and may be a characteristic of each person's physiology, an exacerbated response to changes in temperature or even unknown factors.
However, for a minority of patients, coldness of the feet may be a sign of vascular disease, particularly when accompanied by of other more severe symptoms, such as pain in the calves when walking, pallor or purging of the feet and wounds painful and difficult to heal.
Atherosclerosis is a disease characterized by the formation of fat plaques in the arterial vessels causing them to clog, which leads to deficiency in blood circulation, particularly in the more extreme parts of the body, such as the feet. Thus, they become colder and there may be pain in the legs and feet. The main causes of atherosclerosis are hypertension, diabetes, cigarette smoking and dyslipidemias (high blood cholesterol), and usually affect individuals over 50-60 years.
Another rare but severe circulatory disease that is directly associated with Smoking is arteritis, a type of inflammation in the arteries that presents symptoms similar to obstructions caused by atherosclerosis. It usually targets younger people, sometimes younger than 40.
There are also diseases called vasculitis, which are inflammatory processes that reach very small blood vessels, which may be associated with diseases such as rheumatism. , certain patients have a high sensitivity to cold, and when their hands or feet are exposed to low temperatures, they present a strong reaction of pallor and / or cyanosis (purpura) of the fingers associated with pain. It is the Raynauld phenomenon, which can occur alone or be a harbinger of some types of rheumatic diseases.
Each of these diseases has a very specific treatment and the vascular surgeon is the most suitable specialist to identify more serious problems associated with this sensation .
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