Pernio Erythema (Chilblains)
Pernio erythema, also popularly known as chilblains, is an abnormal skin reaction caused by exposure to cold, of an inflammatory nature and triggered by poor circulation in the capillaries as a result of small thrombi in the small arteries (arterioles). that irrigate the distal areas of our body (feet, hands, nose and ears).
People with circulatory failure are more susceptible to suffering from it. In general, there is a certain predisposition to suffer from it; they report always having a feeling of coldness in the affected areas. Injuries can last from days to weeks and even become chronic.
Its symptoms begin with a tingling and burning sensation in the fingers; The skin takes on a cyanotic (violet) color and intense itching occurs that often becomes unbearable. When the person scratches in search of relief, the condition can aggravate due to the rupture of the small vesicles (we must remember that it is an erythematous-purpuric, papular and nodular lesion) and the appearance of ulcerations and infectious complications.
There is no specific treatment for erythema pernio. Prophylactic measures consist of keeping the body, feet and legs warm, especially if you suffer from a circulatory deficit and your mobility is reduced, and the topical application of calamine.
Tobacco consumption should be avoided, since the nicotine it contains is a powerful alkaloid that produces vasoconstriction and can further aggravate the condition.
From a podiatric medical point of view, the treatment will consist of mild, non-forceful peripheral vasodilators to avoid the dilation of large arteries that produce blood theft.
My niece Solitude was diagnosed with this disease but only her toes and hands turn purple, especially her big toes hurt, she feels as if they were going to be cut off.
Is it true that she can't take anything for the pain? That she shouldn't have to exert physical effort. They have her on leave and she can't go to school. She's already depressed. Please answer that question.
Dear Celia
Mahiou's cream usually goes very well, but he thinks we haven't seen the girl.
It is true that she should not be physically active, she does not go to school, she is licensed.
Good morning around this time every year my husband has chilblains under his big toes, they start out throbbing and are very hot, then they start to crack and later they ooze and become raw, he wears them They treat you every three days at the health center, they have done tests for your circulation and it is not bad, why is it repeated every year on the same dates? Why do they get infected? Normally his feet are cold and in winter they even turn a little purple, no one knows why. Use orthopedic insoles, what would be the solution?
Solution
SOLUTION
Pernio erythema, also popularly known as chilblains, is an abnormal skin reaction caused by exposure to cold, of an inflammatory nature and triggered by poor circulation in the capillaries as a result of small thrombi in the small arteries (arterioles). that irrigate the distal areas of our body (feet, hands, nose and ears).
People with circulatory failure are more susceptible to suffering from it. In general, there is a certain predisposition to suffer from it; they report always having a feeling of coldness in the affected areas. Injuries can last from days to weeks and even become chronic.
A question, I have chilblains that appear, go away, and appear again on the same finger. Is this normal? I went to the dermatologist who prescribed a cream that helps me and the itching goes away almost completely and also the chilblain in a few days, but my concern is that they will appear again. I clarify that I don't live in such a cold city, but I do live in a humid city and I don't think I have any associated illness (I'm 20 years old). Thank you so much.
It is known as chilblain, it can be chronic and acute, erythematous plaques may appear.
And violaceas, and ulcers and blisters may appear in the acute cases and in the chronic case, areas of scarring and atrophy appear.