Chilblains
During the onset of winter, susceptible people will experience burning and itching on their hands and feet. Upon enteringg a warm room’the itching and buming is intensified (not really needed), There may also be some swelling or redness and in extreme cases the surface of the skin may break and sores (ulcers) may develop.
What are Chilblains?
Chilblains (also call pernio) are small itchy, red (and sometimes purple) swellings on the skin, which can become increasingly painful, can swell and then dry out leaving cracks in the skin that expose the foot to the risk of infection. They may occur on the toes (particulary the smaller ones), fingers, the face (specially the nose) and the lobes of the ears. They can also occur on areas of the feet exposed to pressure, for instance on a bunion or where the second toe is squeezed by tight shoes. They can also lead to blisters and break down to become a small ulcer prone to infection
What causes them?
Chilblains develop when the tiny blood vessels under the skin constrict under cold conditions reducing the flow of blood until area warms up again and causes some leakage of fluid into the surrounding tissue. They are caused by the skin’s abnormal reaction to cold but not everyone develops them as this depends to a large extent on the efficiency of your circulation. Peopie with poor circuIation and other health problems involving their blood vessels are likely to be more prone to developing chilblains. ln addition, damp or draughty conditions, dietary factors and hormonal imbalance can also be contributory factors. It is thought that rapid temperature changes from cold to hot can also be a cause. If the skin is chilled and is then followed by too rapid warming next to a fire or through using a hot water bottle, chilblains may result.
How can I prevent and treat them?
The best way to prevent chilblains is to keep your legs, feet and body warm, especially if your circulation is poor and your mobility is limited.
The whole body, rather than just the feet, needs to be kept warm. Trousers, long boots, tights leg warmers, long socks and gloves will also help.
If you have developed chilblains try not to scratch them instead use soothing lotions such as witch hazel and calamine on them to take away most of the discomfort.
If the chilblains has ulcerated, apply an antiseptic dressing, If you have diabetes or are undergoing medical treatment, do have the ulcer assessed by your podiatrist.
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