Need to examine: It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. Two likely causes are cyanotic heart disease and Raynauds phenomenon. The former is less likely if the symptoms are of recent onset. Visit this site for information on the later issue https://www.mayoclinic.org/diseases-conditions/raynauds-disease/symptoms-causes/syc-2036357
Answered 3/26/2019
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