a question about artery inefficiency

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I just started nursing a few weeks ago. And I am trying really hard to get used to the overwhelming information. The book says arterial insufficiency may cause skin appear thin, shiny and taut.But since arterial insufficiency cause a decrease in blood flow to peripheral blood vessels, how can the skin look shiny and taut? I thought about it but really couldn't figure out why. Anybody could help me out on that?

Thanks!!!!:):):)

This might help:

http://www.nlm.nih.gov/medlineplus/ency/article/000170.htm

Remember that arteries supply oxygen! Without adequate oxygen, tissue doesn't perform at it's best. These folks will have thin, papery, cool skin and no hair.

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