Chilblains, also called perniosis or blain, when occurring on the feet, is a medical condition that is often confused with frostbite and trench foot. The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify Diseases The International Statistical Classification of Diseases and Related Health Problems 10th Revision ( ICD -10) is a coding of diseases and signs symptoms abnormal findings S00-T14 - Injury (S00-S09 Head ( Superficial Injury of head ( Superficial injury of The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify Diseases The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. The Diseases Database is a free Website that provides information about the relationships between medical conditions Symptoms, and Medications. eMedicine is an online clinical medical knowledge base that was founded in 1996 by Scott Plantz and Richard Lavely two medical doctors Frostbite ( congelatio in Medical terminology) is the Medical condition whereby damage is caused to Skin and other tissues Immersion foot, or trench foot, is a medical condition caused by prolonged exposure of the feet to damp unsanitary and cold conditions above freezing point 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. Smoking cessation is the effort to stop smoking Tobacco products
Symptoms
- Ulceration of the digits and toes
- Itchy skin inflammation
- 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. Toes are the digits of the Foot of an animal Many animal species such as Cats walk on their toes and are described as being Digitigrade A finger is a type of digit, an organ of manipulation and sensation found in the Hands of Humans and other Primates Normally humans have five digits On the Ear of Humans and many other animals the earlobe('lobulus auriculæ' sometimes simply lobe or lobule) is the soft lower part of the external ear For the mineral see Calamine (mineral, for other uses of the word see Calamine (disambiguation. Nifedipine (brand name Adalat, Nifedical, and Procardia) is a Dihydropyridine Calcium channel blocker. [1] Its vasodilation helps reduce pain, facilitate healing and prevent recurrences. [2]
- Diltiazem, a newer calcium channel blocker, may also be used. Diltiazem is a member of the group of drugs known as Benzothiazepines which are a class of Calcium channel blockers used in the treatment of Hypertension [3]
Prevention
Exposure:
- Avoid rapid changes in temperature.
- Wear gloves
- Use warm footwear. A glove ( Middle English from Old English glof) is a type of Garment (and more specifically a Fashion
- Keep hands and feet warm.
- A successful 'Old Wives' Treatment for chillblains is to dip feet alternatively in very hot, then very cold water until both are about the same temperature. It will take a few days to work, but it does work.
Dietary:
Use in Popular Culture
- In Chapter 7 of Jane Eyre, Jane talks about the girls of Lowood during the winter. Vitamin K (K from "Koagulations-Vitamin" in German Danish Swedish and Norwegian denotes a group of Lipophilic, Hydrophobic Vitamins that Jane Eyre (dʒeɪn ɛə by Charlotte Brontë, published by Smith Elder & Company of London in 1847, is one of the most influential and
- A main character in Ian McEwan's novel Atonement frequently notes the presence of chilblains on her fellow nurses. Atonement ( 2001) is a novel by British writer Ian McEwan. It is widely regarded as one of McEwan's best works and was shortlisted for the 2001
- A skill in the MMO Guild Wars is named Chilblains.
- In the book Dicey's Song by Cynthia Voigt, Dicey is worried about catching chillblains. Dicey's Song is a novel by Cynthia Voigt. It won the Newbery Medal for excellence in American Children's literature in 1983 Cynthia Voigt (1942 -) is an American author of books for young adults dealing with various topics such as fantasy mystery racism and child abuse
- In the book Kushiel's Dart by Jaqueline Carey, Joscelin developed chilblains on his hands and wrists during his captivity in Skaldia. Kushiel's Dart is Jacqueline Carey 's first novel and the first of the novels in her Kushiel's Legacy series Jacqueline Carey is the name of two authors For the author of The Crossley Baby, see Jacqueline Carey (II.
See also
Footnotes
- ^ Rustin M, Newton J, Smith N, Dowd P (1989). Immersion foot, or trench foot, is a medical condition caused by prolonged exposure of the feet to damp unsanitary and cold conditions above freezing point Frostbite ( congelatio in Medical terminology) is the Medical condition whereby damage is caused to Skin and other tissues "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". Br J Dermatol 120 (2): 267-75. PMID 2647123.
- ^ Simon T, Soep J, Hollister J (2005). "Pernio in pediatrics". Pediatrics 116 (3): e472-5. doi:10.1542/peds.2004-2681. A digital object identifier ( DOI) is a permanent identifier given to an Electronic document. PMID 16140694.
- ^ Patra AK, Das AL, Ramadasan P. (2003). "Diltiazem vs. nifedipine in chilblains: A clinical trial". Indian J Dermatol Venereol Leprol 69: 209-11. PMID : 17642888.
External links
The New Zealand Dermatological Society is a medical organization best known outside New Zealand for its "DermNet" website which provides photographs and descriptions DermAtlas is an Open access Web site devoted to Dermatology that is hosted by Johns Hopkins University.
Dictionary
chilblain
-noun
- (pathology) An itchy purple red inflammation of the skin, especially of the hands, feet and ears. It occurs when capillaries below the skin are damaged by exposure to cold weather.
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