Heart Disease Warning Signs: What Your Skin May Be Telling You

March 10, 2025

Heart disease remains a leading cause of death worldwide, and early detection is key to improving outcomes. According to Dr. Aubrey Chad Hartmann of U.S. Dermatology Partners Cedar Park, “While many people associate cardiovascular disease with symptoms like chest pain or shortness of breath, your skin also serves as an early warning system for underlying heart problems. Recognizing skin-related warning signs can prompt timely medical intervention, potentially preventing severe complications.” In this blog, Dr. Hartmann answers the question, “Can heart problems show on skin?” Read on to learn more heart disease warning signs that may develop on skin and what to do when you notice these concerns.

How Does Heart Disease Show on Your Skin?

When it comes to heart disease and skin health, Dr. Hartmann explains, “Our skin is the body’s largest organ, and it often reflects internal health conditions, including cardiovascular disease, first. When our heart function is impaired or bodies need to utilize energy and resources to keep other organs functioning, the skin may receive fewer necessary nutrients, cell turnover may slow, and other issues may occur. Changes in skin color, texture, and swelling can indicate problems with circulation, oxygen levels, and cholesterol. Since these symptoms may appear before more apparent heart disease signs, paying attention to your skin can lead to earlier diagnosis and treatment. Heart disease and skin symptoms may go hand in hand, so it’s important to be aware of these common cooccurring skin health concerns to make early heart disease diagnosis and treatment possible.

Key Skin Warning Signs of Heart Disease

Even though heart disease isn’t the first thing people think about when they notice changes in their skin health, recognizing skin signs of heart disease often helps individuals receive an early and accurate heart disease diagnosis and get the medical care they need. Below, we’ll explore some of the common skin warning signs of heart disease.

Swelling in Lower Extremities (Feet, Ankles, or Lower Legs)

Persistent swelling in the feet, ankles, or lower legs, known as edema, can indicate poor circulation or fluid retention due to heart failure. When the heart struggles to pump effectively, fluid builds up in the lower extremities, leading to noticeable puffiness. New onset swelling of one leg can be a sign of a blood clot forming in the leg. This is an emergent situation. If the blood clot dislodges and travels to the lungs it can have severe consequences. If you experience unexplained swelling of the feet, ankles, or lower legs, especially if it worsens over time, consult a medical professional promptly.

Yellow Bumps Around the Eyes (Xanthelasma)

Xanthelasma is characterized by yellowish cholesterol deposits that form around the eyes. While these bumps are not harmful on their own, they may signal high cholesterol levels, which increase the risk for heart disease. If you notice yellow bumps around the eyes, a lipid profile test may be ordered by your doctor to assess cholesterol levels and cardiovascular risk.

Swollen Fingers and Nails (Clubbing)

Clubbing refers to bulbous, thickened fingertips and curved nails. This symptom develops due to low oxygen levels in the blood. Clubbing is often linked to chronic heart or lung diseases, which impair oxygen circulation. If you notice changes in your fingers or nails, it’s essential to investigate potential underlying cardiovascular or pulmonary conditions that may be causing these changes.

Hemorrhagic Bumps on Hands and Feet

Painful red or purple lesions on the hands and feet may be signs of endocarditis, an infection of the heart’s inner lining. Two specific types of lesions are associated with this condition. Janeway lesions are painless, flat, red spots that appear on the palms of hands or soles of feet. Osler nodes are painful, raised, red or purple nodules, that typically develop on the fingers or toes. If you develop symptoms of either type of lesion, seek medical attention immediately. Untreated endocarditis can lead to serious complications.

Psoriasis and Its Connection to Heart Disease

Psoriasis is a chronic inflammatory skin condition that has been linked to an increased risk for heart disease. The systemic inflammation associated with psoriasis can contribute to atherosclerosis (narrowing of the arteries) and other heart-related health problems. Managing psoriasis with lifestyle changes and medical treatment reduces heart disease risk.

Why Recognizing These Signs is Important

Dr. Hartmann explained the significance of recognizing skin symptoms of heart disease, “Skin symptoms of heart disease often develop before other warning signs, making them valuable early indicators. Timely recognition and medical intervention lead to earlier diagnosis and treatments that may be more likely to improve heart health and prevent severe complications.”

When to See a Dermatologist

If you experience persistent or unusual skin changes, such as swelling, discoloration, lesions, or unusual nail growth, schedule an appointment with a board-certified dermatologist. As skin health experts, dermatologists evaluate these unusual skin symptoms to ensure they are not caused by a more typical skin concern. If necessary, your dermatologist will refer you to a cardiologist for further assessment. If you have a family history of heart disease or other risk factors, staying vigilant about skin-related warning signs is crucial for early detection.

Know When to See a Dermatologist & When to Seek Emergency Medical Care

According to Dr. Hartmann, “If you notice changes in the health and appearance of your skin, hair, or nails and you don’t have a personal or family history of heart disease, starting with a trip to the dermatologist is advisable. They can help you rule out more serious health concerns.” While many skin changes warrant a dermatologist visit, some symptoms require immediate medical attention. Seek emergency care if you experience:

  • Sudden, severe swelling in the legs, face, or abdomen.
  • Unexplained chest pain, shortness of breath, or dizziness.
  • Painful or rapidly spreading skin lesions, especially with fever.

Schedule a Dermatology Consultation

Prioritizing your skin and heart health can make a significant difference in your overall wellbeing. If you notice any concerning skin symptoms, schedule a dermatology consultation to discuss your concerns and receive expert guidance. Early detection and proactive healthcare can protect both your skin and your heart health. Get started working with U.S. Dermatology Partners by completing our simple online scheduling request form.

Find a location near me

or

Categories
Find a location

Ready to Get Started?