Woman with blue-gray palate and nail beds




Chrostowski, Susan
Gray, Barbara
Mancuso, Peggy

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A 62-year-old African-American woman presented for evaluation of a bluish discoloration of the hard palate and nail beds, noticeable for several months. In addition, she had complaints of fatigue and arthralgia. She reported that she had been taking hydroxychloroquine 400 mg/d and quinacrine 100 mg/d for several years for the treatment of systemic lupus erythematosus (SLE). Her medical history was also significant for dry mouth syndrome treated with pilocarpine.


Article originally published in Clinician Reviews, 24(8), 48–50. English. Published Online 2014. https://www.mdedge.com/clinicianreviews/article/86146/dermatology/woman-blue-gray-palate-and-nail-beds
Permission to deposit the published version was given through direct contact with the publisher. For more information please see the faculty member's entry in Project INDEX -- EDH 7/13/23


Bluish discoloration, Hard palate, Nail beds, Fatigue, Arthralgia, Systemic lupus erythematosus, Decreased salivary pool, Oral mucosa, Antimalarial


This is the published version of an article that is available at https://www.mdedge.com/clinicianreviews/article/86146/dermatology/woman-blue-gray-palate-and-nail-beds. Recommended citation: Chrostowski, S., Mancuso, P., & Gray, B. (2014). Woman With blue-gray palate and nail beds. Clinician Reviews, 24(8), 48–50. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.