Blue hue – what to do?

A case of chronic upper limb discolouration and paraesthesia poses a quandary, when an essential medicine is suspected as the cause.
Soondus Ashraf Shoeib

Jean, an 86-year-old female, is a new admission to a nursing home. She reports she has had a few years of chronic bilateral upper limb discolouration.

On the left upper limb this is associated with tingling pain on light touch.