This is an example of Raynaud’s phenomenon. There is blanching (dead-white pallor) of the digits- in this case there is mottling with areas of post-ischemic hyperemia as well. Typical Raynaud’s is 3 phases- blanching, followed by cyanosis followed by erythema with rewarming. Often all digits are involved, but it can be limited to only some digits. (Image Credit: Dr. Jack Reynolds)