Chilblains, also known as pernio, is a medical condition in which damage occurs to capillary beds in the skin, most often in the hands or feet, when blood perfuses into the nearby tissue, resulting in redness, itching, inflammation, and possibly blisters.

It occurs most frequently when predisposed individuals, predominantly women, are exposed to cold and humidity. Ulcerated chilblains are referred to as kibes. Temperature-related chilblains can be prevented by keeping the feet and hands warm in cold weather and avoiding exposing these areas to extreme temperature changes. Once the diagnosis of chilblains is made, first-line treatment includes avoiding cold, damp environments and wearing gloves and warm socks. Vasodilation may reduce pain, facilitate healing, and prevent recurrences. Vasodilators are typically available in an oral pill but can be compounded into a topical formula. Diltiazem, another vasodilator, is also sometimes used.

Etymology

The word is a compound of Modern English chill 'cold' and the archaic word blain (now used only in the word in question), meaning 'swelling', 'blister' or 'sore' and derived from Old English bleġen, bleġene, having the same meaning.

Alternative remedies

The medieval Bald's Leechbook recommended treating chilblains with a mixture of eggs, wine, and fennel root. A modern-day home remedy is to put garlic on the chilblains. Other herbal remedies supposed to be vasodilating, rubifacient, and warming, have been recommended.

COVID-19

Chilblain-like symptoms have also been linked to COVID-19. COVID toes, as they are commonly known, have mostly been reported in older children and adolescents, The symptoms are usually mild and disappear without treatment. They may share some of the microscopic features of chilblains caused by lupus.

See also

  • Equestrian perniosis
  • Erythrocyanosis crurum
  • Raynaud's disease

References

  • Cold stress, National Institute for Occupational Safety and Health