Question

Describe Circumoral Cyanosis and is this a normal finding in a newborn?

Answer 1

Cyanosis is a condition where there is bluish discoloration of the skin due to decreased oxygenation or blood circulation. Circumoral cyanosis is a condition where there is bluish discoloration or a bluish tint on the skin surrounding the lips. This bluish shade is often seen in neonates, as the structure of their skin is very thin when compared to adults. Due to this thin skin texture, the blood vessels present under the skin can be clearly seen, leading to the blue tint. Veins are blue in color and upon close observation; we can see the blue shading lent by them on the skin around the lips. Blood circulation through the arteries commonly lends a pinkish tone to the skin. However, there is decreased blood circulation in the surrounding region of the lips and because of the presence of veins; the bluish tint is more prominent around the lips. If the bluish shade is seen on other areas or extends to the lips, then it is important to seek medical attention, as circumoral cyanosis alone is not a serious condition, but if it is associated with other symptoms, then it requires prompt medical attention. The medical examiner also checks the Airway, Breathing and Circulation (ABC) of the patient. Pulse oximetry is done to assess central cyanosis.Circumoral cyanosis is a sign of a serious lung or heart problem, such as cyanotic congenital heart disease, primary pulmonary disorder.