Chilblains

Chilblains

Chilblains are itchy, swollen and painful lumps or patches on your skin. They form after exposure to cold but not freezing temperatures. They usually affect the fingers and toes but can also appear on the nose and ears. Chilblains are sometimes called ‘perniosis’ and do not cause lasting damage.

Chilblains may be an abnormal blood vessel response. Women, underweight people and those with Raynaud’s phenomenon are at increased risk.

Although the exact cause of chilblains remains unknown, it is thought to be associated with the body’s reaction to cold weather.

The body’s circulatory system comprises arteries, veins and capillaries that carry blood to every cell. The circulatory system is sensitive to temperature.

In hot conditions, the body expands blood vessels close to the skin so that excess heat can be lost to the air, thereby cooling the body. In cold weather, these blood vessels constrict to conserve body heat. This constriction can reduce circulation to the extremities, such as the toes, of blood and warmth, if your peripheral circulation is sluggish.

Common symptoms include itching, bumps and red to violet-coloured patches on the hands or feet.
The skin usually clears up on its own within one to three weeks, although it may recur for years. Medication can help and so can dressing appropriately for cold weather.

During the onset of winter, susceptible people can experience Chilblains which can cause burning and itching on their hands and feet. There may also be some swelling or redness and in extreme cases the surface of the skin may break, and sores (ulcers) may develop.

They usually heal in a few weeks. They’re not the same as frostbite, which is more serious. The affected area might stay sensitive to cold after they heal.

Image of feet with chilblains. Swollen toe and red, blue or purple skin colour on toes

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