Chilblain

Chilblain

Infobox_Disease
Name = PAGENAME


Caption =
DiseasesDB = 31219
ICD10 = ICD10|T|69|1|t|66
ICD9 = ICD9|991.5
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj = derm
eMedicineTopic = 322
MeshID =

Chilblains, also called perniosis or blain, when occurring on the feet, is a medical condition that is often confused with frostbite and trench foot. Chilblains are acral ulcers that occur when a predisposed individual is exposed to cold and humidity. Acral refers to the extremities (e.g. fingers and toes). Chilblains are often idiopathic in origin but can be manifestations of serious medical conditions that need to be investigated. Chilblains can be prevented by keeping the feet and hands warm in cold weather. Smoking cessation and consultation with a dermatologist is advised.

ymptoms

* Ulceration of the digits and toes
* red nose
* Skin redness
* Toe skin inflammation
* Finger skin inflammation
* Earlobe inflammation

Duration

With treatment, chilblains usually heal within 4 weeks

Treatments

* Keep area warm
* Avoid scratching
* Anti-itch creams, such as Calamine lotion
* Zambuk ointment
* Nifedipine may be used in more severe or recurrent cases. [cite journal |author=Rustin M, Newton J, Smith N, Dowd P |title=The treatment of chilblains with nifedipine: the results of a pilot study, a double-blind placebo-controlled randomized study and a long-term open trial |journal=Br J Dermatol |volume=120 |issue=2 |pages=267–75 |year=1989 |pmid=2647123] Its vasodilation helps reduce pain, facilitate healing and prevent recurrences. [cite journal |author=Simon T, Soep J, Hollister J |title=Pernio in pediatrics |journal=Pediatrics |volume=116 |issue=3 |pages=e472–5 |year=2005 |pmid=16140694 | url=http://pediatrics.aappublications.org/cgi/content/full/116/3/e472 |doi=10.1542/peds.2004-2681]
* Diltiazem, a newer calcium channel blocker, may also be used. [cite journal |author=Patra AK, Das AL, Ramadasan P.|title=Diltiazem vs. nifedipine in chilblains: A clinical trial |journal= Indian J Dermatol Venereol Leprol |volume=69 | pages=209–11 |year=2003 | pmid=: 17642888 | url=http://www.ijdvl.com/text.asp?2003/69/3/209/999]

Prevention

Exposure

* Avoid rapid changes in temperature.
* Wear gloves
* Use warm footwear.
* Keep hands and feet warm.

Dietary

* Healthy diet
* Exercise
* High doses of vitamin KKeep feet warm & dry! also take painkillers, and avoid alcohol before going out in snow

ee also

*Trench foot
*Frostbite

Footnotes

External links

*
*
* [http://www.foot-care.org/chilblains.php Chilblains- a localized form of vasculitis]


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  • Chilblain — Chil blain , chilblains chil blains, n. [Chill + Blain.] A blain, sore, or inflammatory swelling of the feet or hands, produced by exposure to cold, and attended by itching, pain, and sometimes ulceration. Syn: pernio. [1913 Webster + WordNet… …   The Collaborative International Dictionary of English

  • Chilblain — Chil blain , v. t. To produce chilblains upon. [1913 Webster] …   The Collaborative International Dictionary of English

  • chilblain — 1540s, from CHILL (Cf. chill) + BLAIN (Cf. blain) …   Etymology dictionary

  • chilblain — ► NOUN ▪ a painful, itching swelling on a hand or foot caused by poor circulation in the skin when exposed to cold. ORIGIN from CHILL(Cf. ↑chillness) + archaic blain, from an Old English word meaning «inflamed swelling or sore» …   English terms dictionary

  • chilblain — [chil′blān΄] n. [ CHIL(L) + blain < OE blegen, a sore < IE * bhlei < base * bhel , to blow up, swell > BALL1] a painful swelling or sore caused by exposure to cold, esp. on the fingers, toes, or ears chilblained adj …   English World dictionary

  • chilblain — UK [ˈtʃɪlˌbleɪn] / US noun [countable] Word forms chilblain : singular chilblain plural chilblains a painful swollen lump on a finger or toe, usually in cold weather …   English dictionary

  • Chilblain — A cold injury which, while painful, causes little or no permanent impairment. It appears as red, swollen skin which is tender, hot to the touch, and may itch. This can worsen to an aching, prickly ( pins and needles ) sensation, and then numbness …   Medical dictionary

  • Chilblain lupus erythematosus — Classification and external resources ICD 10 L93.2 (ILDS L93.260) Chilblain lupus erythematosus (also known as Chilblain lupus erythematosus of Hutchinson [1]) is a chronic, unremitting form of lupus erythematosus with the fingertips, rims of… …   Wikipedia

  • chilblain lupus — erythematosus a chronic unremitting form of lupus erythematosus, caused by microvascular injury secondary to cold exposure; the usual location is on the fingertips, nose, face, ears, hands, calves, or heels. Lesions may at first resemble… …   Medical dictionary

  • chilblain lupus — (англ. chilblain ознобление + мед. лат. lupus волчанка) см. Гетчинсона ознобленная волчанка …   Большой медицинский словарь

  • chilblain — noun Etymology: 1chill Date: 1547 an inflammatory swelling or sore caused by exposure (as of the feet or hands) to cold …   New Collegiate Dictionary

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