Chilblains - Causes, Treatment of Chilblain
All Information about Chilblain Including causes, symptoms and treatment
Chilblain lupus usually affects the fingers and toes and less commonly the nose and ears during the cold winter months and resolves during the summer. Chilblains are more likely to develop in those with poor peripheral circulation. The elderly, sedentary, teenagers and people with medical conditions (such as anaemia) are most susceptible.Chilblain lupus may precede the onset of systemic lupus erythematosus by years, and a skin biopsy of the plaques will help to distinguish true cold induced chilblains or perniosis from lupus.
Treatment of Chilblains
The following measures may be helpful.
- Insulated and heated home and workplace stop up all draughts
- Warm clothing especially gloves, thick woollen socks and comfortable protective footwear. Keep the head and neck warm with hat and scarf
- Before going outside, soak hands in warm water for several minutes to warm hands through then dry thoroughly
- Exercise vigourously before going outside
- Wear cotton-lined waterproof gloves for wet work
- Apply sunscreen to exposed skin even on dull days
- Take vasodilator medication such as nifedipine prescribed before the onset of cold weather and taken throughout winter. Side effects include flushing and headache.
- A potent topical steroid applied accurately for a few days may relieve itch and swelling.
- Antibiotic ointment or oral antibiotics may be necessary for secondary infection.