Definition Paleness Pallor is the absence of the normal red dish color o f the skin and mucous membranes imparted by blood in the supe rfi cial vessels .
sites palpebral conjunctivae ( specifically the anterior rim ) , the oral mucosa (tongue and soft palate) palmar creases the face in general, although absence of pallor does not exclude anaemia. Nail-bed pallor lacks diagnostic value for predicting anaemia but is still often assessed by clinicians.
palpebral conjunctiva
tongue
palms
causes Pallor can be produced by edema or myxedematous tissue surrounding the super cial blood vessels, vasoconstriction, anemia, or any combination.
Generalized Pallor: G e n er aliz e d vaso-cons trict ion—exposure to cold, severe pain, hypoglycemia, volume depletion or low cardiac output s tat e s ;
Chronic Pallor: Normal in some persons, anemia, renal f ailure (anemia may contribute); Paroxysmal Pallor: Apneic periods in periodic breathing, hypertensive periods rom pheochromocy-toma, vertiginous periods in Ménière disease, migraine , syncope ;
Obscuration of Skin Vessels: Edema, myxedema (anemia may contribute), scleroderma.
Clinical grading of pallor Mild: pallor of conjunctiva and/or mucous membrane. Moderate: pallor of conjunctiva and/or mucous membrane + pallor of skin. Severe: pallor of conjunctiva and/or mucous membrane + pallor of skin + pallor of palmar creases.