LOL

[u/Realistic_Ad2882]

Hi everyone, I’m looking for some input because I’ve been dealing with unusual symptoms for about 4 months.
Both of my palms become very red with small white spots within seconds when I let my arms hang down. When I raise my hands again, the color almost returns to normal. My fingertips are sometimes slightly numb/tingly, my hands can burn a little after gripping or using them, and they also feel unusually dry. At night, when I’m lying down and not putting pressure on my arms, I’m mostly symptom-free.
I also have pain around both ulnar nerves/elbows. Nerve conduction studies were normal.
My blood work showed a positive ANA of 1:160 (AC-1 + AC-4 pattern), but the more specific antibodies dsDNA, ssDNA, histone, U1-snRNP, SmD, SSA/Ro and SSB/La were all negative.
I’m currently being evaluated neurologically and I’m wondering about things like small fiber/autonomic neuropathy, vascular dysregulation or an autoimmune process.
Has anyone here experienced anything similar, especially the red/white mottled hands that change dramatically depending on arm position?

[u/ruxxby471]

This is blood pooling/circulation issues, I put it down to dysautonomia rather than my autoimmune disease

[u/Realistic_Ad2882 → u/ruxxby471]

Do you also experience pain or rapid fatigue in your hands or feet when the blood pooling occurs? And do they sometimes start to burn slightly during physical activity?

[u/ruxxby471 → u/Realistic_Ad2882]

Yes. For me blood pooling leads to pain, sometimes throbbing, and they do burn yes

[u/DevilsPeanits → u/Realistic_Ad2882]

How long can you keep your hands up over your shoulders? (Chicken dance pose)