Abstract

Chilblains — also known as pernio, chill burns and perniosis — is a medical condition that occurs when a predisposed individual is exposed to cold and humidity, causing tissue damage. It is often confused with frostbite and trench foot. Damage to capillary beds in the skin causes redness, itching, inflammation, and sometimes blisters. Chilblains can be reduced by keeping the feet and hands warm in cold weather, and avoiding extreme temperature changes. Chilblains can be idiopathic (spontaneous and unrelated to another disease), but may also be a manifestation of another serious medical condition that must be investigated. A history of chilblains suggests a connective tissue disease (such as lupus). In infants, chilblains together with severe neurologic disease and unexplained fevers occurs in Aicardi–Goutières syndrome, a rare inherited condition.

Signs and symptoms

The areas most affected are the toes, fingers, earlobes, nose.

- Blistering of affected area

- Burning and itching sensation in extremities

- Dermatitis in extremities

- Digital ulceration (severe cases only)

- Erythema (blanchable redness of the skin)

- Pain in affected area

- Skin discoloration, red to dark blue

Chilblains usually heal within 7–14 days.

History

The medieval "Bald's Leechbook" recommended treating chilblains with a mix of eggs, wine, and fennel root.

A common tradition of Hispanic America recommends warm garlic on the chilblains.