What is Cape Cyanosis

What is Cape Cyanosis? (2023 Explained)

by | Updated: Nov 25, 2023

Cape cyanosis is a condition that results in a bluish discoloration of the skin on the face, neck, and chest. It is caused by a lack of oxygen in the blood and is often an indication that a pulmonary embolism is present.

In this article, we will explain what cape cyanosis is, its causes, and its treatment options.

What is Cape Cyanosis?

Cyanosis is an abnormal bluish discoloration of the skin that is an indication of hypoxemia or inadequate oxygenation. Cape cyanosis is a type of deep cyanosis that is localized to the face, neck, chest, and back. It gets its name from its resemblance to a cape or cloak.

Cape cyanosis is associated with little or no blood flow. It is often a sign of a pulmonary embolism, which is a blockage of the pulmonary arteries by a blood clot.

Causes

When cyanosis is present, it is often an indication of hypoxemia or inadequate oxygenation.

In general, blood that is rich in oxygen that is bound to hemoglobin has a bright red appearance. Blood that is low in oxygen is darker-red in color. When blood is very low in oxygen, it appears bluish, which is known as cyanosis.

Cyanosis can be caused by a number of conditions that lead to hypoxemia, including:

  • Intracranial hemorrhage
  • Drug overdose
  • Pneumonia
  • Bronchiolitis
  • Bronchospasm
  • Pulmonary hypertension
  • Hypoventilation
  • Emphysema
  • Heart failure
  • Myocardial infarction
  • Sleep apnea

Cyanosis can also result from non-hypoxemia-related events, such as high altitudes, hypothermia, and frostbite.

However, cape cyanosis is most often associated with a pulmonary embolism, which is a blockage of the pulmonary arteries by a blood clot.

This can occur when a clot forms in another location in the body, such as the leg, and then travels to the lungs.

Treatment

Cape cyanosis is a symptom rather than a disease itself. Therefore, the most effective treatment method should involve treating the underlying cause.

For example, if cape cyanosis is caused by a pulmonary embolism, then treatment will focus on dissolving the clot and preventing future clots from forming. This can be done with medications, such as anticoagulants and thrombolytics.

In some cases, surgery may also be necessary.

Hypoxemia can be treated with supplemental oxygen therapy. This can be given through a nasal cannula or mask. In severe cases, intubation and mechanical ventilation may be required.

What is a Pulmonary Embolism?

A pulmonary embolism is a blockage in the pulmonary artery caused by a blood clot that travels to the lungs from the legs or other parts of the body. As a result, the clot can block one or more blood vessels, which can be life-threatening.

A pulmonary embolism can be treated with medications, such as anticoagulants and thrombolytic agents. These drugs are helpful in dissolving the clot and preventing future clots from forming.

Additionally, those with a pulmonary embolism may require oxygen therapy with an FiO2 of up to 100% in order to treat hypoxemia. If chest pain is present, analgesics may be indicated, and inotropic agents may be administered to help maintain circulation.

Finally, anti-embolism compression stockings and early ambulation are also effective methods for preventing a pulmonary embolism.

FAQ

What is Classic Cape Cyanosis?

Classic cape cyanosis is a symptom characterized by a bluish discoloration of the skin. It can usually be seen on the face, neck, back, and chest.

It is caused by a lack of oxygen in the blood and is often an indication that a pulmonary embolism is present.

What Does it Mean When There is Cape Cyanosis Across the Chest?

When cape cyanosis is present across the chest, it means that there is a lack of oxygen in the blood. This can be caused by a number of conditions but is most often an indication that a pulmonary embolism is present.

Therefore, it is important to seek medical treatment as soon as possible.

What is the Difference Between Cyanosis and Pallor?

Cyanosis is a bluish discoloration of the skin that is caused by a lack of oxygen in the blood. Pallor is a pale appearance of the skin that can be caused by a number of different conditions.

Cyanosis is often an indication of a serious condition, such as a pulmonary embolism, and should be evaluated by a medical professional. Pallor can also be a sign of a serious condition but is not always indicative of something life-threatening.

cyanosis illustration

What is Peripheral Cyanosis?

Peripheral cyanosis is a condition characterized by a bluish discoloration of the extremities, such as the hands and feet. It is caused by a lack of oxygen in the blood and can be an indication of a number of different conditions, including frostbite and heart failure.

Treatment for peripheral cyanosis focuses on treating the underlying condition. For example, if frostbite is the cause, then treatment will focus on rewarming the affected area.

If heart failure is the cause, then treatment will focus on managing the condition and relieving symptoms.

What is Central Cyanosis?

Central cyanosis is a condition characterized by a bluish discoloration of the lips and mucous membranes. It is caused by a lack of oxygen in the blood and can be an indication of a number of different conditions, including heart failure and lung disease.

Cyanosis is classified as either peripheral or central. Peripheral cyanosis occurs when there is a problem with the circulation of blood to the extremities, such as in Raynaud’s disease. Central cyanosis, on the other hand, indicates that there is an issue with the oxygenation of the blood itself.

The most common symptom of cyanosis is a bluish discoloration of the skin and mucous membranes. This is caused by the deoxygenated blood being more readily apparent through the thin layers of tissue. In severe cases, the skin may take on a dusky or purple hue.

What Does Cyanosis Look Like?

Cyanosis is present when your skin looks blue due to a lack of oxygen in the blood. It can affect your entire body, or just certain areas, like your lips and fingernails.

In severe cases, cyanosis can be life-threatening. Therefore, it is important to seek medical attention if you suspect that you or someone else is experiencing cyanosis.

Cyanosis can be present at birth, or it may develop over time. It is often a sign of another underlying condition, such as heart disease, lung disease, or erythrocytosis.

Is Cyanosis Dangerous?

Cyanosis can be dangerous if it is caused by a condition that is not treated. For example, cyanosis that is caused by a pulmonary embolism can be life-threatening.

Therefore, it is important to seek medical attention if you suspect that you or someone else is experiencing cyanosis.

Final Thoughts

Cape cyanosis is a type of deep cyanosis characterized by bluish discoloration of the face, neck, back, and chest. It is caused by a lack of oxygen in the blood and is often an indication that a pulmonary embolism is present.

The best treatment method for cape cyanosis involves treating the underlying cause. For example, if cape cyanosis is caused by a pulmonary embolism, then treatment will focus on dissolving the clot and preventing future clots from forming.

This can be done with medications, such as anticoagulants and thrombolytics. In some cases, surgery may also be necessary.

If you think you or someone you know may be experiencing cape cyanosis, it is important to seek medical help as soon as possible. Thanks for reading!

Written by:

John Landry, BS, RRT

John Landry is a registered respiratory therapist from Memphis, TN, and has a bachelor's degree in kinesiology. He enjoys using evidence-based research to help others breathe easier and live a healthier life.

References

  • Adeyinka, Adebayo, and Noah P. Kondamudi. “Cyanosis.” National Library of Medicine, 2 May 2022, www.ncbi.nlm.nih.gov/books/NBK482247.
  • Egan’s Fundamentals of Respiratory Care. 12th ed., Mosby, 2020.
  • Wilkins’ Clinical Assessment in Respiratory Care. 8th ed., Mosby, 2017.
  • Clinical Manifestations and Assessment of Respiratory Disease. 8th ed., Mosby, 2019. 

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