A member asked:

What could cause tiny black specs to appear on my fingertips? i have lupus and recent increase in swelling and tingly fingertips on one side.

A doctor has provided 1 answer
Dr. Michael P Vaughn answered

Specializes in Allergy and Immunology

Vasculitis: Small black spots on you finger tips could represent necrotic areas due to tissue damage to small blood vessels; either from inflammation of the blood vessels or from emboli (small blood clots originating in an other area of the body). This symptom requires immediate attention from a physician.

Answered 5/27/2015

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