Fontanelle is full, can't see the fingernail root why it's purple?

Patient's question:

Symptoms: Born weighing 8 jin 1 liang, no anterior fontanelle visible, appears well-fed, unable to feel it themselves, nail beds are purple, otherwise fine.
Onset time: At birth
Laboratory test results at birth: Normal
Previous treatment history and effectiveness: None

Doctor's answer:

The anterior fontanelle of the baby is a rhomboid gap formed by the margins of the parietal and frontal bones. The length of the line connecting the midpoints of the opposite sides is approximately 1.5 cm to 2.0 cm at birth and gradually decreases with the growth and development of the skull. By 6 months, it starts to shrink, and by 1 to 1.5 years, it completely closes. According to your description, the baby's anterior fontanelle is round and indistinguishable, which may suggest increased intracranial pressure. This can be caused by various different factors, and it is recommended that you take the baby to the hospital for a thorough examination to rule out any abnormalities in the brain.

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