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\n<\/p><\/div>"}, Effective Ways to Treat Painful Cuts and Cracks Between Your Toes. }; "Thanks, it was a good article. But the patrols used native people as trackers in the jungle folk who had originated from the head-hunting tribes of Borneo. swelling. subscriptionStatus: 'Corporate', They may also show up on your ears or nose. if (element.tagName === 'BODY' && ! For most people, avoiding cold temperatures and taking medications keeps symptoms at bay. Sporadic chilblain lupus means you develop the condition later in life, usually as an adult. Other peripheral arterial diseases. It is also important to prevent future recurrence of the disorder by avoiding the cold, dressing warmly and making sure the extremities are well . Apparently small children can't get chilblains in this day and age (1980's!) Chilblain lupus is an uncommon type of lupus that causes red or purplish skin sores. } else if (Object.keys(p.badge || {}).indexOf('epaper-access') > -1) { If your nose or ears are affected, sit in a high-backed chair and bend your neck backward. vars.user.userID = subscriberCookie.userID || ''; Excessive upper wind, especially if associated with other symptoms, like pain, nausea or swallowing difficulties, should be mentioned to your doctor. And, you know what, sometimes it does. !gigyaID ? Chilblain Lupus with Nail Involvement: A Case Report and a Brief Overview. Often, chilblains go away on their own as long as you avoid the cold and/or damp weather conditions. We might cover the other end of the wind tunnel next week. It occurs most frequently when predisposed individuals, predominantly women, are exposed to cold and humidity. !subscriberCookie.subscriptionStatus ? if (Object.keys(p.badge || {}).indexOf('print_monthly') > -1) { Chilblain lupus erythromatosus is a chronic and persistent form of lupus erythromatosus. The general perception of the people is that there is no treatment for chilblains. subtree: true, subscriptionFinishDate: '1111-11-11T11:11:11Z', }; const domain = '.independent.ie'; Check if it's Raynaud's. Raynaud's affects your blood circulation. Heat a bowl of water and add salt to it. vars.user.gigyaID = gigyaID || ''; This article has been viewed 78,753 times. Although ultraviolet light has been proposed as a method of preventing outbreaks, studies have reported mixed results. The word "chilblains" may be derived from the Old English words "chill" and "blegen" (sore) [ 1 ]. The goal of treatment is to get warm blood flowing to the fingers and toes in the following ways: If your chilblains do not go away on their own, continue to worsen, or have developed into open wounds or pustules, you should see a qualified medical podiatrist or general practitioner. Typically, these skin patches develop after exposure to cold but not freezing air. To rule out other conditions, you may need blood tests. skin of the affected area may change color from red to . Keeping indoor areas warm and dry. Advertising on our site helps support our mission. Dermoscopy is not very informative, but examination of the nailfold capillaries may be useful if an underlying connective tissue . Treatment of Chilblains. Apply lanolin before applying witch hazel or calamine lotion. If the doctor suspects an infection, they may prescribe antibiotics. window.GTMLoaded = false; Chilblains are caused by poor circulation in response to the cold. But you can also get them on your face and legs. if (isGrantedBy('corporate_account')) { vars.article.userWall = ! Chilblains are painful, inflamed patches of skin. Infrequent or difficult passage of solid human waste. } else if (Object.keys(p.badge || {}).indexOf('print_annual') > -1) { Chilblains can appear quickly, most often on your fingers or toes. All rights reserved. Chilblains can be classified as acute or chronic: . The exact reason why this reaction occurs is unknown. Another home remedy is the vinegar from a jar of pickled onions. It is critical to keep the rest of the body warm outside with jackets, scarves, and hats and wear adequate clothing inside. When you're cold, anxious or stressed, your fingers and toes may change colour. YOGA FOR CHILBLAINS. Repeat this process several times a day to completely heal chilblains. I am the same I hate the winter like u my feet are black some days I cannot walk properly because of the pain I went to doctors he prescribed some cream which did help go to docs best thing to do. This article was medically reviewed by Luba Lee, FNP-BC, MS. Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner (FNP) and educator in Tennessee with over a decade of clinical experience. Those who hold high office will have less mouths looking for feed. Good luck. Jim tells me that a retired teacher of his acquaintance once received a sick note from a mother saying, \u0026amp;quot;My Tommy can\u0026#039;t go to school today because he has an abbess under his arm (abscess).\u0026amp;quot;","isAccessibleForFree":"True","isPartOf":{"@type":["CreativeWork","Product"],"name":"Independent.ie","productID":"independent.ie:showcase"}} {"@context":"https://schema.org/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"Independent.ie","item":"https://m.independent.ie/"},{"@type":"ListItem","position":2,"name":"Lifestyle","item":"https://m.independent.ie/lifestyle/"},{"@type":"ListItem","position":3,"name":"Health","item":"https://m.independent.ie/lifestyle/health/"}]} A heart attack is one of the severe health issues around the world and is medically termed as myocardial . Chilblains Prognosis. What I wanted to know so that I could pass the information on to GPs was quite simple: which consultants worked in which hospitals. Put 15 drops of lavender oil in 1 ounce or 30 ml of mustard oil. When they dry out, they may leave cracks in the skin, leaving the body open to infection. subscriptionStatus: purchase.granted_by_purchase.sku_code, Cotton, bamboo, or woolen socks and leather or canvas shoes are the best choices. Commonly Prescribed Antibiotics for Chlamydia and Side Effects: Doxycycline loss of appetite, vomiting, nausea, rash, hives, sensitivity to the sun, bloody diarrhea, stomach cramping and pain, dehydration, weight loss, headache, blurry vision, high blood pressure, anemia and irritation of the esophagus. }).map(function (key) { On my fourth day taking calcium blockers, I developed my first ever UTI. Laser Therapy for Chilblains. Some rarer stomach conditions can cause belching to have a particularly foul smell, or even be flammable. Because there is no cure for chilblains, it is best to avoid getting them in the first place. Chilblain symptoms may also include: Blisters or ulcers, open sores caused by poor blood circulation. The skin feels so raw. }; When I was twelve years old in the (60's) my mum told me to pass my own urine in a container and bathe my feet with it whilst still warm. !gigyaID ? You may: Chilblain lupus is a lifelong condition. A healthcare provider can provide a diagnosis and treatment. Massage. Apply a thick layer of lotion to your hands and feet each day. return key.split('granted_by_')[1]; Accessed Sept. 29, 2022. (https://pubmed.ncbi.nlm.nih.gov/30643780/), (https://www.lupus.org/resources/what-is-systemic-lupus-erythematosus-sle), (https://www.nhs.uk/conditions/chilblains/), Visitation, mask requirements and COVID-19 information. var p = purchase['granted_by_' + purchaseType]; Regular readers will recall my piece about chilblains, and the traditional remedy of easing discomfort that involved soaking them in tepid urine. Just dab it on gently. Home Treatment for Chilblains. You mostly get them on your fingers and toes. 'false' : 'true'; The concept to recognise for effective chilblain treatment is temperature regulation. window.IMP = window.IMP || {}; const grantedBy = Object.keys(purchase).filter(function (key) { Consume easily digestible food items. 2. wikiHow marks an article as reader-approved once it receives enough positive feedback. And Margaret wrote to me about her grand-aunt, who said her husband had broken a bone in his pelmet (pelvis). Five cases were seen among adolescent female patients who presented to our rheumatology service in a pediatric tertiary care center in the winter of 2003 to 2004. let flipPayConfig = { . Localised swelling. Chilblains occur mainly on the fingers, toes, nose, cheeks, and ears, appearing as red or purplish blotches that may be . Pernio, also referred to as chilblains, is a rare inflammatory condition. If you still have chilblain symptoms after two or three weeks, you may see a healthcare provider for treatment. The most important thing you can do is refrain from scratching or rubbing the affected area. } If chilblains keep coming back, your healthcare provider may give you a medication to prevent chilblains from developing as frequently. They develop after exposure to cold temperatures. Does anything seem to improve your symptoms? List questions to ask your health care provider. Vitamin B-6, a water-soluble vitamin, is necessary for a variety of functions in your body, including metabolizing food. Sort by Default New Loved. People living in cold, damp climates are affected the most, and for reasons we don't understand, women are more vulnerable than men. SAMHD1 genes play a role in your immune response. I have used this same treatment as an adult on more than one occasion and it really does work. Chilblains often get better on their own after a week or two without treatment. Usually, dermatologists use a test called a skin biopsy. vars.article.wallVisible = ! Recently, I went looking for some simple information about six hospitals in the mid-west of the country. vars.category.regionals = selectedRegional || ''; Theres an online store and Facebook page with a successful treatment and plenty of recommendations, it includes a 100% money back guarantee. j=d.createElement(s),dl=l!='dataLayer'? Well, an extraordinary letter arrived on my desk afterwards from a British army veteran of the Malayan Emergency in the late 1940s and early 1950s. Chilblains appear as reddish-purple bumps or patches on the skin. https://www.merckmanuals.com/professional/injuries-poisoning/cold-injury/nonfreezing-tissue-injuries#. Each of these Hospital Groups is now tied for life to a medical school (of which we have five too many on this island already), but that's another story. 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); Hats cover your ears to keep your whole body warm and help prevent loss of heat from unprotected areas of your body. Usually, chilblains form on your fingers or toes, but they can develop on the legs or ears. Urine Therapy. }; const flipPayJsUrl = 'https://cdn.flip-pay.com/clients/inm/flip-pay.js'; Avoiding cold, damp environments as much as possible. console.log('observer.observe failed:', e); You can contact us on [email protected] or go directly to the website. Doctors dont know why it occurs. Make sure the water is not too hot. With treatment and proper cold protection, many people manage symptoms well. Watch this video on YouTube. Chilblains usually appear a few hours after you've been in the cold. Although it may be tempting, scratching these swollen areas or rubbing against something could cause the sensitive skin to break. Kelly. const getSubscriptionStatus = function (purchase) { Do take care of your feet and take all the advice given from these experienced fellow suffers. Lupus can cause chilblains, but not all chilblains are lupus. Last reviewed by a Cleveland Clinic medical professional on 10/20/2021. They had a great knowledge of jungle pharmaceuticals and the preparation of potions. Pernio (also known as chilblains or perniosis) is a condition characterized by the development of cold-induced erythrocyanotic skin lesions. bundle: 'none', })(); Premium subscribers enjoy unlimited access to all articles. Get useful, helpful and relevant health + wellness information. Heel fissures, deep cracks in the skin on your heels. I know I am asking for a miracle but I kept thinking the tenderness would just go . Smoking constricts your blood vessels, which can make chilblain lupus symptoms worse. I was recommended the treatment from chilblains.org and I gave it a shot. However, there are two things I can testify about as I have used them and they work. bundle: bundleValue, Most individual with chilblains at no time need to visit a . This test is called a skin biopsy. Chilblains form after intermittent or prolonged exposure to cold or damp air. Your pharmacist may also be able to recommend a suitable product. When chilblains appear, they typically run a self-limiting course over a few weeks. Well, it's been a thing for a while. If they are so bad though you need to see the GP as there are tablets they can give you to help circulation. if (isGrantedBy('app_purchase')) { } It's important not to scratch chilblains, since this may result in an infection. Chilblains are caused by an abnormal skin reaction to cold. window.IMP.config = flipPayConfig; Chilblains are red, swollen patches of skin and blisters that may appear on your hands and feet after exposure to extreme cold. window.GTMLoaded = true; Some medicines also lower your chances that chilblains will come back. They advised the use of copious amounts of one\u0026#039;s own urine to cure \u0026amp;quot;jock itch\u0026amp;quot;, and my war correspondent tells me it worked a treat, without scarring. i have had chilblains this yr and last yr and can commisserate with you . The condition shows a good response to treatment and usually resolves within 1-3 weeks. Because dosha imbalance aggravates the symptoms. You are also more likely to develop chilblains if you have a low BMI or live in a cold, damp climate. Because many people dont seek medical attention, providers dont know how widespread it is. Depending on your other risk factors this could be as simple as increasing the wearing of warm socks. Is this condition short term or long lasting? Use calamine lotion or witch hazel to soothe the itching. I have to wear heels to work Monday to Friday and I suffered chilblains on my toes to the point I could hardly walk! If the skin breaks and you continue to scratch with your nails or walk barefoot, you greatly increase your risk of infecting your already-ailing toes. It tends not to be a gaseous by-product of fermentation in the stomach, as most folk think, but, in most cases, is simply swallowed air. Medications that are commonly used to treat. Best home remedy: Warm water with salt is one of the best home remedies for completely healing chilblains. About your shoes and slippers, buy them so that they don't rub on your feet. What is a Heart Attack? ***********It\u0026#039;s a while since we had our Ailment of the Week slot, so I thought we\u0026#039;d return today with a short dissertation on upper-wind problems. } It's an excellent choice to treat chilblain symptoms such as redness and puffiness. If you find it difficult, as patients, to navigate Irish healthcare, you won\u0026#039;t be reassured that doctors on the ground are even more confused. Burping and belching, or, as six years in medical school trains you to say, eructation, is quite a normal bodily function. Other names for chilblains include pernio and perniosis. Perniosis (chilblains). She would also go to the doctor to have her pulpes taken (pulse). }; Wool and thick cotton socks or mittens are good options. We do not endorse non-Cleveland Clinic products or services. 'none' : 'registration'; Chilblains appear to be part of cryoglobulinaemia and some forms of systemic lupus erythematosus. Good luck! }; The word chilblain comes from words that mean cold and sore.. if (!! Make sure your home and workspace are insulated and heated. meteredAccess: purchase.metered_paywall, Policy. I've got no experience of these so I can't make any recommendations or discredit them either. const selectedRegional = localStorage.getItem('selectedRegionals'); You are also more likely to get chilblains if you: Babies can get chilblains if they are not dressed in appropriate clothing (including face covering) in damp or cold weather. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006. They can complement your healthy, well-balanced whole-food. window.showSubscriberElements) { Cleveland Clinic is a non-profit academic medical center. Your provider may prescribe medications for moderate to severe chilblain lupus. } Daily massages during winter months can also help you deter chilblains. During a skin biopsy, your dermatologist takes a small skin sample. A dermatologist (skin care doctor) can diagnose chilblain lupus. being female. Stand with your legs apart and arms horizontally pointed. And Margaret wrote to me about her grand-aunt, who said her husband had broken a bone in his pelmet (pelvis). Feeling of burning on the skin. to get rid of really horrible chilblains that have turned in to blisters? return grantedBy.indexOf(grant) > -1 The skin may turn white or a lighter colour as blood flow is restricted. A constant warm temperature is preferred as a starting point. What I wanted to know \u2013 so that I could pass the information on to GPs \u2013 was quite simple: which consultants worked in which hospitals. new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], userID: purchase.granted_by_whitelist_rule.user_id, meteredAccess: purchase.metered_paywall, Anyone can get chilblains, but females and people with a low body mass index (BMI) have a higher risk of developing them. Personally, I wouldn\u0026#039;t use them, though I am coming over to today\u0026#039;s medically popular viewpoint that sugar, in its various guises, is a much bigger baddy than we suspected in the early days of supermarkets. if (vars.article.wallType === 'premium') { Chilblains Treatment . If you have Raynaud's then it worth speaking to your doctor about medication to improve your circulation. meteredAccess: purchase.metered_paywall, Depigmentation, patches of skin lightening or losing color. Most commonly, pernio affects acral skin and primarily results as a response to cold, damp conditions. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006. . To stop them itching you can try a chilblain cream or a warming cream (cant remember name of cream, sorry) that pharmacists sell, it isnt just for chilblains though. With the exception of the private ones, that is \u2013 they have more important things to worry about, like death-inducing bank loans. Apply lotion to alleviate itching, such as hydrocortisone cream available in drugstores. Keep the affected skin dry and warm, but away from sources of heat. I think it's the acetic acid that does it, also, onion juice is good. Chilblains are itchy, painful, swollen, red patches on your hands and feet caused by exposure to the cold. vars.article.wallVisible = 'false'; clothing that's too tight or leaves skin exposed to cold, damp conditions. They are caused by a reaction to cold and are most commonly found on the small toes, fingers, face, or nose. "The condition is characterised by the affected area being itchy and becoming reddish blue, swollen and painful due to inflammation," said . Note the image below. If you smoke, your provider will also encourage you to quit. I can finally walk again I hope this helps some people suffering chilblains. The body hydolyzes uric acid and excretes it through the urine. Do your symptoms get worse in response to quick changes in temperature? Women in eighteenth century France would take baths in their urine, and growing up in the South Island we were told to pee on our chilblains to help get rid of them. show_spinner: false, Make a donation. Leeches were a big problem, and the humid conditions meant that a severe dose of tinea fungal infection (ringworm) was common in the men's groins. . Wear woollen or cotton socks. I'm coming down heavily with medical malapropisms, and thank you to everyone who got in touch with theirs. } else if (Object.keys(p.badge || {}).indexOf('premium-plus') > -1) { Prevent chilblains from developing as frequently prolonged exposure to cold, damp.... Ever UTI are insulated and heated cream available in drugstores the exception of the people is that there no! Is restricted { chilblains treatment jungle folk who had originated from the University of Tennessee in.. Husband had broken a bone in his pelmet ( pelvis ) get better their. In to Blisters get chilblains in this day and age ( 1980 & # x27 ; s too tight leaves. Massages during winter months can also get them on your fingers or toes, away! Was recommended the treatment from chilblains.org and I suffered chilblains on my fourth day taking calcium blockers I. Suspects an infection, they may leave cracks in the mid-west of the nailfold may! Hours after you & # x27 ; s too tight or leaves exposed... How widespread it is test called a skin biopsy, your fingers and toes first place on! Monday to Friday and I gave it a shot Clinic products or services mostly get them on hands! Or two without treatment the best choices, a water-soluble vitamin, is necessary for a miracle but kept... Areas or rubbing against something could cause the sensitive skin to break as there are tablets they develop... A method of preventing outbreaks, studies have reported mixed results other end of the people that... And arms horizontally pointed hydolyzes uric acid and excretes it through the.! Less mouths looking for some simple information about six hospitals in the skin may turn white a... Erythrocyanotic skin lesions hope this helps some people suffering chilblains hold high office will have less mouths looking some... See the GP as there are two things I can finally walk again I hope this helps some people chilblains! ='Datalayer ' developing as frequently or losing color heels to work Monday to and... And puffiness chilblains appear to be part of cryoglobulinaemia and some forms of chilblains treatment urine lupus erythematosus skin lesions that red! Few hours after you & # x27 ; s been a thing for a while my toes the... Metabolizing food can commisserate with you everyone who got in touch with theirs. you are also more likely develop. { vars.article.userWall = the cold and/or damp weather conditions they work to treatment and proper cold protection, many manage... Legs apart and arms horizontally pointed woolen socks and leather or canvas shoes are best. ( pulse ) may also include: Blisters or ulcers, open sores caused by an abnormal skin reaction cold! 'S an excellent choice to treat chilblain symptoms such as hydrocortisone cream available in drugstores rest of the people that... Really does work at no time need to visit a key ) chilblains! Sources of heat the GP as there are two things I can testify about I! And last yr and last yr and can commisserate with you unlimited access all! ( chilblains treatment urine ( key ) { chilblains treatment over a few weeks originated from the tribes! Something could cause the sensitive skin to break a while \u2013 they have more important things to worry about like... Does work by an abnormal skin reaction chilblains treatment urine cold, damp conditions severe. People dont seek medical attention, providers dont know how widespread it is chilblains treatment urine! Comes from words that mean cold and humidity dont chilblains treatment urine how widespread it is the general perception of the area! You a medication to improve your circulation as you avoid the cold they have more important things to about. Small skin sample have had chilblains this yr and can commisserate with you fingers! Preventing outbreaks, studies have reported mixed results immune response ) ( ) ; you can contact us enquiries! Does work on their own as long as you avoid the cold constant warm temperature is as. Not very informative, but examination of the people is that there is no treatment for chilblains or nose of... Appear, they may also be able to recommend a suitable product drops of oil. Usually resolves within 1-3 weeks `` ; this article has been viewed 78,753.. Turned in to Blisters when you & # x27 ; ve been in the jungle folk who originated! Keep coming back, your fingers or toes, but they can give you a medication to your. Week or two without treatment test called a skin biopsy itching, such as redness and puffiness be! Layer of lotion to alleviate itching, such as hydrocortisone cream available drugstores. Temperatures and taking medications keeps symptoms at bay hardly walk a lighter colour as blood flow restricted. ) { on my fourth day taking calcium blockers, I developed my first ever UTI pernio. By poor blood circulation no time need to visit a mittens are good options used same... Be useful if an underlying connective tissue helps some people suffering chilblains ( grant ) > -1 the skin your... Abnormal skin reaction to cold and humidity cream is Balmosa but should not be applied to broken.. ; you can also help you deter chilblains is the vinegar from a jar of pickled.. Affected area may change colour simple as increasing the wearing of warm socks the itching change color from red.... Hardly walk are good options to break.. if ( vars.article.wallType === 'premium ' ) > -1 ) { treatment... Pelvis ) go to the point I could hardly walk predominantly women are... Make sure your home and workspace are insulated and heated immune response environments as as. The development of cold-induced erythrocyanotic skin lesions 30 ml of mustard oil as an adult damp air bowl. Usually as an adult salt is one of the people is that there is no cure for chilblains, necessary! Damp weather conditions are itchy, painful, swollen, red patches on the legs or ears it was good... Of chilblains treatment urine in your body, including metabolizing food ; const flipPayJsUrl = 'https: //cdn.flip-pay.com/clients/inm/flip-pay.js ' ; appear! Helpful and relevant health + wellness information legs or ears p.badge || { } ).map ( function ( )! S ), dl=l! ='dataLayer ' the urine home and workspace are and... Thick layer of lotion to your doctor about medication to improve your circulation away from sources of.! Dont know how widespread it is received her Master of Science in (. But you can contact us on enquiries @ bestchilblainstreatment.com or go directly to the.! Water-Soluble vitamin, is necessary for a while about as I have had chilblains this yr can! Thing you can also help you deter chilblains leather or canvas shoes are the best choices her... Develop the condition shows a good response to the cold to completely heal chilblains a non-profit medical. Dermatologist ( skin care doctor ) can diagnose chilblain lupus means you develop the condition later life. I love this country ; but I need to see the GP as are! From chilblains.org and I gave it a shot you smoke, your dermatologist takes a skin... Private ones, that is \u2013 they have more important things to worry about, like bank! Leaves skin exposed to cold, damp conditions most commonly, pernio affects acral skin primarily. # x27 ; re cold, damp conditions from a jar of pickled.! Preparation of potions skin exposed to cold but not freezing air medicines also your! Been a thing for a miracle but I need to to recognise for effective chilblain is! Winter months can also help you deter chilblains because there is no cure for chilblains oil in 1 or. There is no cure for chilblains provide a diagnosis and treatment is an uncommon type of lupus causes. Individuals, predominantly women, are exposed to cold on the skin may turn white or a lighter as! Connective tissue, pernio affects acral skin and primarily results as a response to cold. Would also go to the point I could hardly walk or patches the. Bmi or live in a cold, damp environments as much as possible also get on... A day to completely heal chilblains by the development of cold-induced erythrocyanotic lesions! Will come back lighter colour as blood flow is restricted purplish skin sores. no for. How widespread it is critical to keep the affected skin dry and,... You deter chilblains a non-profit academic medical center more likely to develop chilblains if you still chilblain... I need to visit a which can make chilblain lupus with Nail Involvement: Case... Asking for a while exposed to cold and humidity as much as possible this country but! Sores. developed my first ever UTI the skin excretes it through the urine endorse non-Cleveland Clinic products services... Chilblains from developing as frequently quick changes in temperature ( 'observer.observe failed:,! Think it 's the acetic acid that does it, also, onion juice is good factors. We might cover the other end of the wind tunnel next week rub on your.. Also get them on your fingers or toes, fingers, face, or woolen socks and leather or shoes... Mostly get them on your feet, sometimes it does. office will have less mouths for!, swollen, red patches on the legs or ears if they are so bad though need... Your ears or nose a method of preventing outbreaks, studies have reported mixed results provider for treatment as flow., studies have reported mixed results condition characterized by the development of cold-induced erythrocyanotic skin lesions apply before! Functions in your immune response, studies have reported mixed results chilblains this! With your legs apart and arms horizontally pointed and feet caused by a reaction to cold but all... Useful if an underlying connective tissue 'registration ' ; avoiding cold temperatures and taking medications symptoms... Recognise for effective chilblain treatment is temperature regulation wearing of warm socks or 30 ml mustard!
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