Chilblain lupus erythematosus is a rare skin condition and up to date only a small number of cases have been reported. It is a form of chronic cutaneous lupus erythematosus, which is an
autoimmune inflammatory disease
of the skin and may be present in people with or without systemic lupus erythematosus.
What causes pernio?
Perniosis is a seasonal inflammatory disorder that is triggered by
prolonged exposure to cold and damp (humid) conditions
. It usually occurs when the weather is cold and the humidity is high, especially during late fall and winter.
What is the difference between chilblains and Raynaud’s?
Chilblains are painful blue or red patches that occur on the extremities after exposure to cold. They can be itchy, painful and in some cases they may become infected and ulcerate. They are caused by
poor circulation
and affect about 10% of people. Raynaud’s disease is also caused by problems with circulation.
What are chilblains a symptom of?
Chilblains are the result of
an abnormal reaction to the cold
. They’re common in the UK because damp, cold weather is usual in the winter. Some people develop chilblains that last for several months every winter. When the skin is cold, blood vessels near its surface get narrower.
Is chilblains and autoimmune disease?
Lupus
— an autoimmune connective tissue disease — is the most common autoimmune disorder associated with chilblains.
Is chilblains a form of lupus?
Chilblain lupus erythematosus is
a rare, chronic variant of cutaneous lupus erythematosus
that occurs during cold or damp periods on the hands, fingers, or feet. It is often associated with other forms of cutaneous lupus and about 20% of patients develop systemic lupus erythematosus.
What can be mistaken for chilblains?
Conditions that may present with a similar clinical picture to chilblains include: Connective tissue disorders in particular lupus erythematosus and
sarcoidosis
(lupus pernio). Chilblain lupus erythematosus is a form of cutaneous lupus that presents with similar clinical features to idiopathic chilblains.
What does a Chilblain look like?
Chilblains are
small red itchy patches
that can appear on toes and fingers after you’ve been in the cold, particularly in winter. They have a distinctive ‘dusky pink’ appearance and can be very tender and itchy. Sometimes they can look a bit like a bruise and sometimes toes can become quite swollen.
Is pernio serious?
Pernio also referred to as chilblains, is a
rare inflammatory condition
. The term “chilblains” derives from two Old English words “chill” (cold) and “blegen” (sore). Most commonly, pernio affects acral skin and primarily results as a response to cold, damp conditions.
Can chilblains be caused by stress?
Triggers for this can be
cold or emotional stress
. Unlike the red/purple patches of chilblains, when blood flow is constricted in Raynauds Phenomena, the skin turns white, feels icy cold and sometimes even develops a blue tinge.
What is the fastest way to cure chilblains?
Rewarming affected skin gently, without massaging,
rubbing or applying direct heat
. Avoiding cold exposure whenever possible. Keeping your affected skin dry and warm, but away from sources of heat. Applying lotion to alleviate itching.
What is the best treatment for chilblains?
- Resist the urge to scratch, as this will further damage the skin.
- Use calamine lotion or witch hazel to soothe the itching. …
- Lanolin or similar, rubbed into the feet, will help retain body heat.
- Wear woollen or cotton socks.
- Keep your whole body warm.
What cream is best for chilblains?
Calamine lotion and witch hazel
are both soothing and cooling, whilst antiseptic should be applied to broken chilblains until medical attention is sought. A steroid cream rubbed onto the chilblains may reduce itch and soreness.
Is Vicks good for chilblains?
Warm them slowly using warm socks and indirect heat. Keep feet well moisturised to maintain elasticity to the skin surface. To increase circulation, use
menthol or eucalyptus based products
such as Vicks Vapour Rub or antiflamme.
Do chilblains leave scars?
Occasionally, the skin breaks down to leave a small ulcer which is prone to infection. In some cases chilblains can become persistent (chronic). This usually occurs in people who are repeatedly exposed to cold conditions.
The skin becomes scarred over time
.
Are chilblains the same as frostbite?
Frostnip is the mildest form of cold injury, whereas
chilblains represent a more severe condition
due to prolonged exposure to nonfreezing temperature and humidity.
