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Chilblains - Wikipedia

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class="vector-toc-numb">2</span> <span>Prevention</span> </div> </a> <button aria-controls="toc-Prevention-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Prevention subsection</span> </button> <ul id="toc-Prevention-sublist" class="vector-toc-list"> <li id="toc-Exposure" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Exposure"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1</span> <span>Exposure</span> </div> </a> <ul id="toc-Exposure-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Other" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Other"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.2</span> <span>Other</span> </div> </a> <ul id="toc-Other-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Treatment" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Treatment"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Treatment</span> </div> </a> <ul id="toc-Treatment-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Etymology" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Etymology"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Etymology</span> </div> </a> <ul id="toc-Etymology-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-History" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#History"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>History</span> </div> </a> <ul id="toc-History-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-COVID-19" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#COVID-19"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>COVID-19</span> </div> </a> <ul id="toc-COVID-19-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-See_also" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#See_also"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>See also</span> </div> </a> <ul id="toc-See_also-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> <span class="vector-toc-numb">8</span> <span>References</span> </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-External_links" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#External_links"> <div class="vector-toc-text"> <span class="vector-toc-numb">9</span> <span>External links</span> </div> </a> <ul id="toc-External_links-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contents" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Toggle the table of contents" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet mw-ui-icon-wikimedia-listBullet"></span> <span class="vector-dropdown-label-text">Toggle the table of contents</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Chilblains</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. Available in 24 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-24" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">24 languages</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%B4%D8%B1%D8%AB" title="شرث – Arabic" lang="ar" hreflang="ar" data-title="شرث" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-an mw-list-item"><a href="https://an.wikipedia.org/wiki/Sabay%C3%B3n" title="Sabayón – Aragonese" lang="an" hreflang="an" data-title="Sabayón" data-language-autonym="Aragonés" data-language-local-name="Aragonese" class="interlanguage-link-target"><span>Aragonés</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Penell%C3%B3" title="Penelló – Catalan" lang="ca" hreflang="ca" data-title="Penelló" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-cy mw-list-item"><a href="https://cy.wikipedia.org/wiki/Llosg_eira" title="Llosg eira – Welsh" lang="cy" hreflang="cy" data-title="Llosg eira" data-language-autonym="Cymraeg" data-language-local-name="Welsh" class="interlanguage-link-target"><span>Cymraeg</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Frostbeule" title="Frostbeule – German" lang="de" hreflang="de" data-title="Frostbeule" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Saba%C3%B1%C3%B3n" title="Sabañón – Spanish" lang="es" hreflang="es" data-title="Sabañón" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Ospel_(gaixotasuna)" title="Ospel (gaixotasuna) – Basque" lang="eu" hreflang="eu" data-title="Ospel (gaixotasuna)" data-language-autonym="Euskara" data-language-local-name="Basque" class="interlanguage-link-target"><span>Euskara</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%B3%D8%B1%D9%85%D8%A7%D8%B3%D9%88%D8%B2%DA%A9" title="سرماسوزک – Persian" lang="fa" hreflang="fa" data-title="سرماسوزک" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Engelure" title="Engelure – French" lang="fr" hreflang="fr" data-title="Engelure" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-ga mw-list-item"><a href="https://ga.wikipedia.org/wiki/Fuacht%C3%A1n" title="Fuachtán – Irish" lang="ga" hreflang="ga" data-title="Fuachtán" data-language-autonym="Gaeilge" data-language-local-name="Irish" class="interlanguage-link-target"><span>Gaeilge</span></a></li><li class="interlanguage-link interwiki-gl mw-list-item"><a href="https://gl.wikipedia.org/wiki/Frieira_(medicina)" title="Frieira (medicina) – Galician" lang="gl" hreflang="gl" data-title="Frieira (medicina)" data-language-autonym="Galego" data-language-local-name="Galician" class="interlanguage-link-target"><span>Galego</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EB%8F%99%EC%B0%BD_(%EC%A7%88%EB%B3%91)" title="동창 (질병) – Korean" lang="ko" hreflang="ko" data-title="동창 (질병)" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-hi mw-list-item"><a href="https://hi.wikipedia.org/wiki/%E0%A4%AC%E0%A4%BF%E0%A4%B5%E0%A4%BE%E0%A4%88" title="बिवाई – Hindi" lang="hi" hreflang="hi" data-title="बिवाई" data-language-autonym="हिन्दी" data-language-local-name="Hindi" class="interlanguage-link-target"><span>हिन्दी</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Gelone_(malattia)" title="Gelone (malattia) – Italian" lang="it" hreflang="it" data-title="Gelone (malattia)" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-lt mw-list-item"><a href="https://lt.wikipedia.org/wiki/Nuo%C5%BEvarba" title="Nuožvarba – Lithuanian" lang="lt" hreflang="lt" data-title="Nuožvarba" data-language-autonym="Lietuvių" data-language-local-name="Lithuanian" class="interlanguage-link-target"><span>Lietuvių</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Wintertenen" title="Wintertenen – Dutch" lang="nl" hreflang="nl" data-title="Wintertenen" data-language-autonym="Nederlands" data-language-local-name="Dutch" class="interlanguage-link-target"><span>Nederlands</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E3%81%97%E3%82%82%E3%82%84%E3%81%91" title="しもやけ – Japanese" lang="ja" hreflang="ja" data-title="しもやけ" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-or mw-list-item"><a href="https://or.wikipedia.org/wiki/%E0%AC%9A%E0%AC%BF%E0%AC%B2%E0%AC%AC%E0%AD%8D%E0%AC%B2%E0%AD%87%E0%AC%A8%E0%AD%8D%E2%80%8C%E0%AC%B8" title="ଚିଲବ୍ଲେନ୍‌ସ – Odia" lang="or" hreflang="or" data-title="ଚିଲବ୍ଲେନ୍‌ସ" data-language-autonym="ଓଡ଼ିଆ" data-language-local-name="Odia" class="interlanguage-link-target"><span>ଓଡ଼ିଆ</span></a></li><li class="interlanguage-link interwiki-uz mw-list-item"><a href="https://uz.wikipedia.org/wiki/Chilblans" title="Chilblans – Uzbek" lang="uz" hreflang="uz" data-title="Chilblans" data-language-autonym="Oʻzbekcha / ўзбекча" data-language-local-name="Uzbek" class="interlanguage-link-target"><span>Oʻzbekcha / ўзбекча</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Odmroziny" title="Odmroziny – Polish" lang="pl" hreflang="pl" data-title="Odmroziny" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Frieira" title="Frieira – Portuguese" lang="pt" hreflang="pt" data-title="Frieira" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-kcg mw-list-item"><a href="https://kcg.wikipedia.org/wiki/Sa%CC%B1khwot-ta%CC%B1lyen" title="Sa̱khwot-ta̱lyen – Tyap" lang="kcg" hreflang="kcg" data-title="Sa̱khwot-ta̱lyen" data-language-autonym="Tyap" data-language-local-name="Tyap" class="interlanguage-link-target"><span>Tyap</span></a></li><li class="interlanguage-link interwiki-za mw-list-item"><a href="https://za.wikipedia.org/wiki/Oemqlauxbaeg" title="Oemqlauxbaeg – Zhuang" lang="za" hreflang="za" data-title="Oemqlauxbaeg" data-language-autonym="Vahcuengh" data-language-local-name="Zhuang" class="interlanguage-link-target"><span>Vahcuengh</span></a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E5%86%BB%E7%96%AE" title="冻疮 – Chinese" lang="zh" hreflang="zh" data-title="冻疮" data-language-autonym="中文" data-language-local-name="Chinese" class="interlanguage-link-target"><span>中文</span></a></li> </ul> <div class="after-portlet after-portlet-lang"><span class="wb-langlinks-edit wb-langlinks-link"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q2141001#sitelinks-wikipedia" title="Edit interlanguage links" class="wbc-editpage">Edit links</a></span></div> </div> </div> </div> </header> <div class="vector-page-toolbar"> <div class="vector-page-toolbar-container"> <div id="left-navigation"> <nav aria-label="Namespaces"> <div id="p-associated-pages" class="vector-menu vector-menu-tabs mw-portlet mw-portlet-associated-pages" 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.infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox ib-medical-condition"><tbody><tr><th colspan="2" class="infobox-above" style="background:#ccc">Chilblains</th></tr><tr><th scope="row" class="infobox-label">Other names</th><td class="infobox-data">Pernio, perniones, perniosis<sup id="cite_ref-Andrews_1-0" class="reference"><a href="#cite_note-Andrews-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr style="background-color: #f8f9fa;"><td colspan="2" class="infobox-full-data"><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:Wintertenen.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/1/1d/Wintertenen.jpg/220px-Wintertenen.jpg" decoding="async" width="220" height="162" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/1/1d/Wintertenen.jpg/330px-Wintertenen.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/1/1d/Wintertenen.jpg/440px-Wintertenen.jpg 2x" data-file-width="2177" data-file-height="1603" /></a></span></td></tr><tr><td colspan="2" class="infobox-full-data">Toes inflamed by chilblains</td></tr><tr><th scope="row" class="infobox-label">Pronunciation</th><td class="infobox-data"><style data-mw-deduplicate="TemplateStyles:r1126788409">.mw-parser-output .plainlist ol,.mw-parser-output .plainlist ul{line-height:inherit;list-style:none;margin:0;padding:0}.mw-parser-output .plainlist ol li,.mw-parser-output .plainlist ul li{margin-bottom:0}</style><div class="plainlist"><ul><li><span class="rt-commentedText nowrap"><span class="IPA nopopups noexcerpt" lang="en-fonipa"><a href="/wiki/Help:IPA/English" title="Help:IPA/English">/<span style="border-bottom:1px dotted"><span title="/ˈ/: primary stress follows">ˈ</span><span title="/tʃ/: &#39;ch&#39; in &#39;China&#39;">tʃ</span><span title="/ɪ/: &#39;i&#39; in &#39;kit&#39;">ɪ</span><span title="&#39;l&#39; in &#39;lie&#39;">l</span><span title="&#39;b&#39; in &#39;buy&#39;">b</span><span title="&#39;l&#39; in &#39;lie&#39;">l</span><span title="/eɪ/: &#39;a&#39; in &#39;face&#39;">eɪ</span><span title="&#39;n&#39; in &#39;nigh&#39;">n</span><span title="&#39;z&#39; in &#39;zoom&#39;">z</span></span>/</a></span></span>&#x20;</li></ul></div></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medical_specialty" title="Medical specialty">Specialty</a></th><td class="infobox-data"><a href="/wiki/Internal_medicine" title="Internal medicine">Internal medicine</a>, <a href="/wiki/Podiatry" title="Podiatry">podiatry</a></td></tr></tbody></table> <p><b>Chilblains</b>, also known as <b>pernio</b>, is a medical condition in which damage occurs to <a href="/wiki/Capillary" title="Capillary">capillary</a> beds in the skin, most often in the hands or feet, when blood perfuses into the nearby tissue, resulting in redness, itching, <a href="/wiki/Inflammation" title="Inflammation">inflammation</a>, and possibly <a href="/wiki/Blister" title="Blister">blisters</a>.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p><p>It occurs most frequently when predisposed individuals, predominantly women,<sup id="cite_ref-What_Are_COVID_Toes?_A_Case_Study_3-0" class="reference"><a href="#cite_note-What_Are_COVID_Toes?_A_Case_Study-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> are exposed to cold and humidity. <a href="/wiki/Ulcer_(dermatology)" title="Ulcer (dermatology)">Ulcerated</a> chilblains are referred to as <b>kibes</b>. Temperature-related chilblains can be prevented by keeping the feet and hands warm in cold weather and avoiding exposing these areas to extreme temperature changes. Once the diagnosis of chilblains is made, first-line treatment includes avoiding cold, damp environments and wearing gloves and warm socks.<sup id="cite_ref-What_Are_COVID_Toes?_A_Case_Study_3-1" class="reference"><a href="#cite_note-What_Are_COVID_Toes?_A_Case_Study-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> </p><p>Chilblains can be <a href="/wiki/Idiopathic" class="mw-redirect" title="Idiopathic">idiopathic</a> (spontaneous and unrelated to another disease), but similar symptoms may also be a manifestation of another serious medical condition that must be investigated. Related medical conditions include <a href="/wiki/Raynaud_syndrome" title="Raynaud syndrome">Raynaud syndrome</a>, <a href="/wiki/Erythromelalgia" title="Erythromelalgia">erythromelalgia</a>, <a href="/wiki/Frostbite" title="Frostbite">frostbite</a>, and <a href="/wiki/Trench_foot" title="Trench foot">trench foot</a>, as well as <a href="/wiki/Connective_tissue_disease" title="Connective tissue disease">connective tissue diseases</a> such as <a href="/wiki/Lupus" title="Lupus">lupus</a> or <a href="/wiki/Vasculitis" title="Vasculitis">vasculitis</a>. In infants affected by <a href="/wiki/Aicardi%E2%80%93Gouti%C3%A8res_syndrome" title="Aicardi–Goutières syndrome">Aicardi–Goutières syndrome</a> (a rare inherited condition <a href="/wiki/Neurodevelopmental_disorder" title="Neurodevelopmental disorder">which affects the nervous system</a>) chilblain-like symptoms occur together with severe neurologic disturbances and unexplained fevers. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Signs_and_symptoms">Signs and symptoms</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=1" title="Edit section: Signs and symptoms"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Chilblains_from_excessively_icing_the_feet.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/7/7b/Chilblains_from_excessively_icing_the_feet.jpg/290px-Chilblains_from_excessively_icing_the_feet.jpg" decoding="async" width="290" height="395" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/7/7b/Chilblains_from_excessively_icing_the_feet.jpg/435px-Chilblains_from_excessively_icing_the_feet.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/7/7b/Chilblains_from_excessively_icing_the_feet.jpg/580px-Chilblains_from_excessively_icing_the_feet.jpg 2x" data-file-width="2613" data-file-height="3561" /></a><figcaption>Chilblains of the feet, caused by excessive exposure to cold and humidity</figcaption></figure> <p>The areas most affected are the <a href="/wiki/Toe" title="Toe">toes</a>, <a href="/wiki/Finger" title="Finger">fingers</a>, <a href="/wiki/Earlobe" title="Earlobe">earlobes</a>, <a href="/wiki/Human_nose" title="Human nose">nose</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (July 2020)">citation needed</span></a></i>&#93;</sup> </p> <ul><li><a href="/wiki/Blister" title="Blister">Blistering</a> of affected area</li> <li>Burning and <a href="/wiki/Itch" title="Itch">itching</a> sensation in extremities</li> <li><a href="/wiki/Dermatitis" title="Dermatitis">Dermatitis</a> in extremities</li> <li><a href="/wiki/Ulcer_(dermatology)" title="Ulcer (dermatology)">Ulceration</a> (severe cases only)</li> <li><a href="/wiki/Erythema" title="Erythema">Erythema</a> (<a href="/wiki/Blanch_(medical)" title="Blanch (medical)">blanchable</a> redness of the skin)</li> <li><a href="/wiki/Pain" title="Pain">Pain</a> in affected area</li> <li>Skin discoloration, red to dark blue</li></ul> <p>Chilblains caused by exposure to low temperatures usually heal within 7–14 days. </p> <div class="mw-heading mw-heading2"><h2 id="Prevention">Prevention</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=2" title="Edit section: Prevention"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Exposure">Exposure</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=3" title="Edit section: Exposure"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li>Keep affected area warm, and avoid any extreme temperature changes (including very hot water).<sup id="cite_ref-Harvardweb_4-0" class="reference"><a href="#cite_note-Harvardweb-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-MNT_5-0" class="reference"><a href="#cite_note-MNT-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup></li> <li>Keep affected area dry.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup></li> <li>Wear warm shoes, socks and gloves.<sup id="cite_ref-MNT_5-1" class="reference"><a href="#cite_note-MNT-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup></li> <li>Wear a hat and a scarf to protect the ears and the nose.<sup id="cite_ref-MNT_5-2" class="reference"><a href="#cite_note-MNT-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup></li> <li>Avoid tight fitting socks/shoes.</li></ul> <div class="mw-heading mw-heading3"><h3 id="Other">Other</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=4" title="Edit section: Other"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li>Exercise at least four times a week to improve circulation.<sup id="cite_ref-MNT_5-3" class="reference"><a href="#cite_note-MNT-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup></li> <li>Quit smoking, as it damages circulation.<sup id="cite_ref-Harvardweb_4-1" class="reference"><a href="#cite_note-Harvardweb-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup></li></ul> <div class="mw-heading mw-heading2"><h2 id="Treatment">Treatment</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=5" title="Edit section: Treatment"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/Nifedipine" title="Nifedipine">Nifedipine</a> and <a href="/wiki/Amlodipine" title="Amlodipine">amlodipine</a>, which are <a href="/wiki/Vasodilator" class="mw-redirect" title="Vasodilator">vasodilators</a> in the class of drugs known as <a href="/wiki/Calcium_channel_blocker" title="Calcium channel blocker">calcium channel blockers</a>, may help in some cases.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Vasodilation" title="Vasodilation">Vasodilation</a> may reduce pain, facilitate healing, and prevent recurrences.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> It is typically available in an oral pill but can be compounded into a topical formula.</li> <li><a href="/wiki/Diltiazem" title="Diltiazem">Diltiazem</a>, a vasodilator, may help.<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup></li> <li>Apply a mixture of <a href="/wiki/Tincture_of_benzoin" title="Tincture of benzoin">friar's balsam</a> and a weak iodine solution.<sup id="cite_ref-MNT_5-4" class="reference"><a href="#cite_note-MNT-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup></li></ul> <div class="mw-heading mw-heading2"><h2 id="Etymology">Etymology</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=6" title="Edit section: Etymology"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The word is a compound of <a href="/wiki/Modern_English" title="Modern English">Modern English</a> <i>chill</i> ‘cold’ and the archaic word <i>blain</i> (now used only in the word in question), meaning ‘swelling’, ‘blister’ or ‘sore’ and derived from <a href="/wiki/Old_English" title="Old English">Old English</a> <i>bleġen</i>, <i>bleġene</i>, having the same meaning.<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=7" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The medieval <i><a href="/wiki/Bald%27s_Leechbook" title="Bald&#39;s Leechbook">Bald's Leechbook</a></i> recommended treating chilblains with a mixture of eggs, wine, and <a href="/wiki/Fennel" title="Fennel">fennel</a> root.<sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> A modern-day home remedy is to put garlic on the chilblains.<sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup> While neither of these remedies has been supported by scientific research, vasodilating, rubiefacient and warming herbal remedies, both topical and internal are prescribed and efficacious. </p> <div class="mw-heading mw-heading2"><h2 id="COVID-19">COVID-19</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=8" title="Edit section: COVID-19"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Chilblain-like symptoms have also been linked to <a href="/wiki/COVID-19" title="COVID-19">COVID-19</a>.<sup id="cite_ref-Wollina2020_13-0" class="reference"><a href="#cite_note-Wollina2020-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Young2020_14-0" class="reference"><a href="#cite_note-Young2020-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Kaya2020_15-0" class="reference"><a href="#cite_note-Kaya2020-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup> <b>COVID toes</b>, as they are commonly known,<sup id="cite_ref-Massey2020_16-0" class="reference"><a href="#cite_note-Massey2020-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Bristow2020_17-0" class="reference"><a href="#cite_note-Bristow2020-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-:0_18-0" class="reference"><a href="#cite_note-:0-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> have mostly been reported in older children and adolescents,<sup id="cite_ref-Walker2020_19-0" class="reference"><a href="#cite_note-Walker2020-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-:0_18-1" class="reference"><a href="#cite_note-:0-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> who often have not had other symptoms of COVID-19.<sup id="cite_ref-Ladha2020_20-0" class="reference"><a href="#cite_note-Ladha2020-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup> The symptoms are usually mild and disappear without treatment.<sup id="cite_ref-Walker2020_19-1" class="reference"><a href="#cite_note-Walker2020-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-:0_18-2" class="reference"><a href="#cite_note-:0-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> Their cause is debated: it is uncertain whether COVID toes are a delayed consequence of <a href="/wiki/SARS-CoV-2" title="SARS-CoV-2">the viral infection</a> itself or are, at least partially, connected to environmental factors during the <a href="/wiki/COVID-19_pandemic" title="COVID-19 pandemic">COVID-19 pandemic</a>.<sup id="cite_ref-Massey2020_16-1" class="reference"><a href="#cite_note-Massey2020-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Bristow2020_17-1" class="reference"><a href="#cite_note-Bristow2020-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup> They may share some of the <a href="/wiki/Histology" title="Histology">microscopic features</a> of chilblains caused by lupus.<sup id="cite_ref-Ladha2020_20-1" class="reference"><a href="#cite_note-Ladha2020-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup> It has been suggested that in the absence of exposure to cold and damp, COVID-19 should be considered as a possible cause of chilblains.<sup id="cite_ref-Ladha2020_20-2" class="reference"><a href="#cite_note-Ladha2020-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup> </p><p>In a study at the dermatology department of <a href="/wiki/H%C3%B4pital_Saint-Louis" title="Hôpital Saint-Louis">Saint-Louis Hospital</a> in Paris, researchers found that most of their study participants carried high levels of autoantibodies, proteins generated by the immune system that inadvertently attack the body's own tissues. Compared with healthy individuals, the participants showed high activity of proteins called <a href="/wiki/Interferon_type_I" title="Interferon type I">type 1 interferons</a>, which switch on pathogen-fighting genes in immune cells.<sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=9" title="Edit section: See also"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/Equestrian_perniosis" title="Equestrian perniosis">Equestrian perniosis</a></li> <li><a href="/wiki/Erythrocyanosis_crurum" title="Erythrocyanosis crurum">Erythrocyanosis crurum</a></li> <li><a href="/wiki/Raynaud%27s_disease" class="mw-redirect" title="Raynaud&#39;s disease">Raynaud's disease</a></li></ul> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=10" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-Andrews-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-Andrews_1-0">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFJamesElstonTreatRosenbach2020" class="citation book cs1">James, William D.; Elston, Dirk M.; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac M. 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symptoms: What are they?</a></span> </li> <li id="cite_note-22"><span class="mw-cite-backlink"><b><a href="#cite_ref-22">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFNicoletta_Lanese2021" class="citation web cs1">Nicoletta Lanese (2021-10-07). <a rel="nofollow" class="external text" href="https://www.livescience.com/mystery-of-covid-toes-solved">"We might finally know what causes 'COVID toes'<span class="cs1-kern-right"></span>"</a>. <i>livescience.com</i><span class="reference-accessdate">. Retrieved <span class="nowrap">2022-01-08</span></span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=livescience.com&amp;rft.atitle=We+might+finally+know+what+causes+%27COVID+toes%27&amp;rft.date=2021-10-07&amp;rft.au=Nicoletta+Lanese&amp;rft_id=https%3A%2F%2Fwww.livescience.com%2Fmystery-of-covid-toes-solved&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AChilblains" class="Z3988"></span></span> </li> </ol></div></div> <div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Chilblains&amp;action=edit&amp;section=11" title="Edit section: External links"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1235681985">.mw-parser-output .side-box{margin:4px 0;box-sizing:border-box;border:1px solid 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href="https://en.wiktionary.org/wiki/Special:Search/chilblains" class="extiw" title="wiktionary:Special:Search/chilblains">chilblains</a></b></i> in Wiktionary, the free dictionary.</div></div> </div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1235681985"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1237033735"><div class="side-box side-box-right plainlinks sistersitebox"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"> <div class="side-box-flex"> <div class="side-box-image"><span class="noviewer" typeof="mw:File"><span><img alt="" src="//upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/30px-Commons-logo.svg.png" decoding="async" width="30" height="40" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/45px-Commons-logo.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/59px-Commons-logo.svg.png 2x" data-file-width="1024" data-file-height="1376" /></span></span></div> <div class="side-box-text plainlist">Wikimedia Commons has media related to <span style="font-weight: bold; font-style: italic;"><a href="https://commons.wikimedia.org/wiki/Category:Chilblains" class="extiw" title="commons:Category:Chilblains">Chilblains</a></span>.</div></div> </div> <ul><li><a href="/wiki/DermAtlas" title="DermAtlas">DermAtlas</a> <i><a rel="nofollow" class="external text" href="http://dermatlas.med.jhmi.edu/derm/result.cfm?Diagnosis=1683395337">1683395337</a></i></li> <li><a rel="nofollow" class="external text" href="https://www.cdc.gov/niosh/topics/coldstress/">Cold stress</a>, National Institute for Occupational Safety and Health</li></ul> <div class="navbox-styles"><style data-mw-deduplicate="TemplateStyles:r1236075235">.mw-parser-output .navbox{box-sizing:border-box;border:1px solid #a2a9b1;width:100%;clear:both;font-size:88%;text-align:center;padding:1px;margin:1em auto 0}.mw-parser-output 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.navbox-group,.mw-parser-output .navbox-subgroup .navbox-title{background-color:#ddf}.mw-parser-output .navbox-subgroup .navbox-group,.mw-parser-output .navbox-subgroup .navbox-abovebelow{background-color:#e6e6ff}.mw-parser-output .navbox-even{background-color:#f7f7f7}.mw-parser-output .navbox-odd{background-color:transparent}.mw-parser-output .navbox .hlist td dl,.mw-parser-output .navbox .hlist td ol,.mw-parser-output .navbox .hlist td ul,.mw-parser-output .navbox td.hlist dl,.mw-parser-output .navbox td.hlist ol,.mw-parser-output .navbox td.hlist ul{padding:0.125em 0}.mw-parser-output .navbox .navbar{display:block;font-size:100%}.mw-parser-output .navbox-title .navbar{float:left;text-align:left;margin-right:0.5em}body.skin--responsive .mw-parser-output .navbox-image img{max-width:none!important}@media print{body.ns-0 .mw-parser-output .navbox{display:none!important}}</style><style data-mw-deduplicate="TemplateStyles:r1129693374">.mw-parser-output .hlist dl,.mw-parser-output .hlist ol,.mw-parser-output .hlist ul{margin:0;padding:0}.mw-parser-output .hlist dd,.mw-parser-output .hlist dt,.mw-parser-output .hlist li{margin:0;display:inline}.mw-parser-output .hlist.inline,.mw-parser-output .hlist.inline dl,.mw-parser-output .hlist.inline ol,.mw-parser-output .hlist.inline ul,.mw-parser-output .hlist dl dl,.mw-parser-output .hlist dl ol,.mw-parser-output .hlist dl ul,.mw-parser-output .hlist ol dl,.mw-parser-output .hlist ol ol,.mw-parser-output .hlist ol ul,.mw-parser-output .hlist ul dl,.mw-parser-output .hlist ul ol,.mw-parser-output .hlist ul ul{display:inline}.mw-parser-output .hlist .mw-empty-li{display:none}.mw-parser-output .hlist dt::after{content:": "}.mw-parser-output .hlist dd::after,.mw-parser-output .hlist li::after{content:" · ";font-weight:bold}.mw-parser-output .hlist dd:last-child::after,.mw-parser-output .hlist dt:last-child::after,.mw-parser-output .hlist li:last-child::after{content:none}.mw-parser-output .hlist dd dd:first-child::before,.mw-parser-output .hlist dd dt:first-child::before,.mw-parser-output .hlist dd li:first-child::before,.mw-parser-output .hlist dt dd:first-child::before,.mw-parser-output .hlist dt dt:first-child::before,.mw-parser-output .hlist dt li:first-child::before,.mw-parser-output .hlist li dd:first-child::before,.mw-parser-output .hlist li dt:first-child::before,.mw-parser-output .hlist li li:first-child::before{content:" (";font-weight:normal}.mw-parser-output .hlist dd dd:last-child::after,.mw-parser-output .hlist dd dt:last-child::after,.mw-parser-output .hlist dd li:last-child::after,.mw-parser-output .hlist dt dd:last-child::after,.mw-parser-output .hlist dt dt:last-child::after,.mw-parser-output .hlist dt li:last-child::after,.mw-parser-output .hlist li dd:last-child::after,.mw-parser-output .hlist li dt:last-child::after,.mw-parser-output .hlist li li:last-child::after{content:")";font-weight:normal}.mw-parser-output .hlist ol{counter-reset:listitem}.mw-parser-output .hlist ol>li{counter-increment:listitem}.mw-parser-output .hlist ol>li::before{content:" "counter(listitem)"\a0 "}.mw-parser-output .hlist dd ol>li:first-child::before,.mw-parser-output .hlist dt ol>li:first-child::before,.mw-parser-output .hlist li ol>li:first-child::before{content:" ("counter(listitem)"\a0 "}</style><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"></div><div role="navigation" class="navbox" aria-label="Navbox" style="width:100%; margin:0.5em 0 0.5em 0;;padding:3px"><table class="nowraplinks navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="row" class="navbox-group" style="width:1%;background: #EAECF0;color:black;">Classification</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"><div style="position:relative; float:right; font-size:0.8em;"><a href="https://www.wikidata.org/wiki/Q2141001" class="extiw" title="d:Q2141001">D</a></div><div class="hlist" style="text-align:left;"><ul><li><b><a href="/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems" class="mw-redirect" title="International Statistical Classification of Diseases and Related Health Problems">ICD</a>-<a href="/wiki/ICD-10" title="ICD-10">10</a></b>: <a rel="nofollow" class="external text" href="https://icd.who.int/browse10/2019/en#/T69.1">T69.1</a></li><li><b><a href="/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems" class="mw-redirect" title="International Statistical Classification of Diseases and Related Health Problems">ICD</a>-<a href="/wiki/List_of_ICD-9_codes" title="List of ICD-9 codes">9-CM</a></b>: <a rel="nofollow" class="external text" href="http://www.icd9data.com/getICD9Code.ashx?icd9=991.5">991.5</a></li><li><b><a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">MeSH</a></b>: <a rel="nofollow" class="external text" href="https://meshb.nlm.nih.gov/record/ui?ui=D002647">D002647</a></li><li><b><a href="/wiki/Diseases_Database" title="Diseases Database">DiseasesDB</a></b>: <a rel="nofollow" class="external text" href="http://www.diseasesdatabase.com/ddb31219.htm">31219</a></li></ul></div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;background: #EAECF0;color:black;">External resources</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"><div class="hlist" style="text-align:left;"><ul><li><b><a href="/wiki/EMedicine" title="EMedicine">eMedicine</a></b>: <a rel="nofollow" class="external text" href="https://emedicine.medscape.com/derm/322-overview">derm/322</a></li></ul></div></div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="Consequences_of_external_causes" style="padding:3px"><table class="nowraplinks hlist mw-collapsible mw-collapsed navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><style data-mw-deduplicate="TemplateStyles:r1239400231">.mw-parser-output .navbar{display:inline;font-size:88%;font-weight:normal}.mw-parser-output .navbar-collapse{float:left;text-align:left}.mw-parser-output .navbar-boxtext{word-spacing:0}.mw-parser-output .navbar ul{display:inline-block;white-space:nowrap;line-height:inherit}.mw-parser-output .navbar-brackets::before{margin-right:-0.125em;content:"[ "}.mw-parser-output .navbar-brackets::after{margin-left:-0.125em;content:" ]"}.mw-parser-output .navbar li{word-spacing:-0.125em}.mw-parser-output .navbar a>span,.mw-parser-output .navbar a>abbr{text-decoration:inherit}.mw-parser-output .navbar-mini abbr{font-variant:small-caps;border-bottom:none;text-decoration:none;cursor:inherit}.mw-parser-output .navbar-ct-full{font-size:114%;margin:0 7em}.mw-parser-output .navbar-ct-mini{font-size:114%;margin:0 4em}html.skin-theme-clientpref-night .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}@media(prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}}@media print{.mw-parser-output .navbar{display:none!important}}</style><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Consequences_of_external_causes" title="Template:Consequences of external causes"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Consequences_of_external_causes" title="Template talk:Consequences of external causes"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Consequences_of_external_causes" title="Special:EditPage/Template:Consequences of external causes"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Consequences_of_external_causes" style="font-size:114%;margin:0 4em">Consequences of <a href="/wiki/External_cause" title="External cause">external causes</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%">Temperature</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Elevated</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Burn" title="Burn">Burn</a></li> <li><a href="/wiki/Hyperthermia" title="Hyperthermia">Hyperthermia</a></li> <li><a href="/wiki/Heat_syncope" title="Heat syncope">Heat syncope</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Reduced</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Hypothermia" title="Hypothermia">Hypothermia</a></li> <li><a href="/wiki/Immersion_foot_syndromes" title="Immersion foot syndromes">Immersion foot syndromes</a> <ul><li><a href="/wiki/Trench_foot" title="Trench foot">Trench foot</a></li> <li><a href="/wiki/Tropical_immersion_foot" class="mw-redirect" title="Tropical immersion foot">Tropical immersion foot</a></li> <li><a href="/wiki/Warm_water_immersion_foot" class="mw-redirect" title="Warm water immersion foot">Warm water immersion foot</a></li></ul></li> <li><a href="/wiki/Non-freezing_cold_injury" title="Non-freezing cold injury">Non-freezing cold injury</a></li> <li><a class="mw-selflink selflink">Chilblains</a></li> <li><a href="/wiki/Frostbite" title="Frostbite">Frostbite</a></li> <li><a href="/wiki/Aerosol_burn" title="Aerosol burn">Aerosol burn</a></li> <li><a href="/wiki/Cold_intolerance" class="mw-redirect" title="Cold intolerance">Cold intolerance</a></li> <li><a href="/wiki/Acrocyanosis" title="Acrocyanosis">Acrocyanosis</a></li> <li><a href="/wiki/Erythrocyanosis_crurum" title="Erythrocyanosis crurum">Erythrocyanosis crurum</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Radiation</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Chronic_radiation_keratosis" class="mw-redirect" title="Chronic radiation keratosis">Chronic radiation keratosis</a></li> <li><a href="/wiki/Eosinophilic,_polymorphic,_and_pruritic_eruption_associated_with_radiotherapy" class="mw-redirect" title="Eosinophilic, polymorphic, and pruritic eruption associated with radiotherapy">Eosinophilic, polymorphic, and pruritic eruption associated with radiotherapy</a></li> <li><a href="/wiki/Radiation_acne" class="mw-redirect" title="Radiation acne">Radiation acne</a></li> <li><a href="/wiki/Radiation_burn" title="Radiation burn">Radiation burn</a></li> <li><a href="/wiki/Radiation-induced_cancer" title="Radiation-induced cancer">Radiation-induced cancer</a></li> <li><a href="/wiki/Radiation-induced_erythema_multiforme" class="mw-redirect" title="Radiation-induced erythema multiforme">Radiation-induced erythema multiforme</a></li> <li><a href="/wiki/Radiation-induced_hypertrophic_scar" class="mw-redirect" title="Radiation-induced hypertrophic scar">Radiation-induced hypertrophic scar</a></li> <li><a href="/wiki/Radiation-induced_keloid" class="mw-redirect" title="Radiation-induced keloid">Radiation-induced keloid</a></li> <li><a href="/wiki/Radiation-induced_morphea" class="mw-redirect" title="Radiation-induced morphea">Radiation-induced morphea</a></li> <li><a href="/wiki/Radiation_poisoning" class="mw-redirect" title="Radiation poisoning">Radiation poisoning</a></li> <li><a href="/wiki/Radiation_recall_reaction" class="mw-redirect" title="Radiation recall reaction">Radiation recall reaction</a></li> <li><a href="/wiki/Sunburn" title="Sunburn">Sunburn</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Oxygen</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Hypoxia_(medical)" class="mw-redirect" title="Hypoxia (medical)">Hypoxia</a>/<a href="/wiki/Asphyxia" title="Asphyxia">Asphyxia</a></li> <li><a href="/wiki/Oxygen_toxicity" title="Oxygen toxicity">Oxygen toxicity</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Pressure</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Barotrauma" title="Barotrauma">Barotrauma</a> <ul><li><a href="/wiki/Arterial_gas_embolism" class="mw-redirect" title="Arterial gas embolism">Arterial gas embolism</a></li> <li><a href="/wiki/Aerosinusitis" title="Aerosinusitis">Aerosinusitis</a></li> <li><a href="/wiki/Middle_ear_barotrauma" title="Middle ear barotrauma">Middle ear barotrauma</a></li> <li><a href="/wiki/Pneumothorax" title="Pneumothorax">Pneumothorax</a></li></ul></li> <li><a href="/wiki/Decompression_sickness" title="Decompression sickness">Decompression sickness</a> <ul><li><a href="/wiki/Inner_ear_decompression_sickness" title="Inner ear decompression sickness">Inner ear decompression sickness</a></li></ul></li> <li><a href="/wiki/Effects_of_high_altitude_on_humans" title="Effects of high altitude on humans">High altitude</a> <ul><li><a href="/wiki/Altitude_sickness" title="Altitude sickness">Altitude sickness</a></li> <li><a href="/wiki/Chronic_mountain_sickness" title="Chronic mountain sickness">Chronic mountain sickness</a></li> <li><a href="/wiki/Death_zone" title="Death zone">Death zone</a></li> <li><a href="/wiki/High-altitude_pulmonary_edema" title="High-altitude pulmonary edema">High-altitude pulmonary edema</a> (HAPE)</li> <li><a href="/wiki/High-altitude_cerebral_edema" title="High-altitude cerebral edema">High-altitude cerebral edema</a> (HACE)</li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Food</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Starvation" title="Starvation">Starvation</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Maltreatment</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Physical_abuse" title="Physical abuse">Physical abuse</a></li> <li><a href="/wiki/Sexual_abuse" title="Sexual abuse">Sexual abuse</a></li> <li><a href="/wiki/Psychological_abuse" title="Psychological abuse">Psychological abuse</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Travel</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Motion_sickness" title="Motion sickness">Motion sickness</a></li> <li><a href="/wiki/Seasickness" class="mw-redirect" title="Seasickness">Seasickness</a></li> <li><a href="/wiki/Airsickness" title="Airsickness">Airsickness</a></li> <li><a href="/wiki/Space_adaptation_syndrome" title="Space adaptation syndrome">Space adaptation syndrome</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Adverse effect</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Hypersensitivity" title="Hypersensitivity">Hypersensitivity</a> <ul><li><a href="/wiki/Anaphylaxis" title="Anaphylaxis">Anaphylaxis</a></li> <li><a href="/wiki/Angioedema" title="Angioedema">Angioedema</a></li> <li><a href="/wiki/Allergy" title="Allergy">Allergy</a></li> <li><a href="/wiki/Arthus_reaction" title="Arthus reaction">Arthus reaction</a></li></ul></li></ul> <ul><li><a href="/wiki/Adverse_drug_reaction" title="Adverse drug reaction">Adverse drug reaction</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Electrical_injury" title="Electrical injury">Electrical injury</a> <ul><li><a href="/wiki/Lightning_injuries" class="mw-redirect" title="Lightning injuries">Lightning injuries</a></li></ul></li> <li><a href="/wiki/Drowning" title="Drowning">Drowning</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Ungrouped <br /> skin conditions <br /> resulting from <br /> physical factors</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Dermatosis_neglecta" title="Dermatosis neglecta">Dermatosis neglecta</a></li> <li><a href="/wiki/Pinch_mark" title="Pinch mark">Pinch mark</a></li> <li><a href="/wiki/Pseudoverrucous_papules_and_nodules" title="Pseudoverrucous papules and nodules">Pseudoverrucous papules and nodules</a></li> <li><a href="/wiki/Sclerosing_lymphangitis" title="Sclerosing lymphangitis">Sclerosing lymphangitis</a></li> <li><a href="/wiki/Tropical_anhidrotic_asthenia" class="mw-redirect" title="Tropical anhidrotic asthenia">Tropical anhidrotic asthenia</a></li> <li><a href="/wiki/UV-sensitive_syndrome" title="UV-sensitive syndrome">UV-sensitive syndrome</a></li> <li><i>environmental skin conditions</i> <ul><li><a href="/wiki/Electrical_burn" title="Electrical burn">Electrical burn</a></li></ul></li> <li><i>frictional/traumatic/sports</i> <ul><li><a href="/wiki/Black_heel_and_palm" title="Black heel and palm">Black heel and palm</a></li> <li><a href="/wiki/Equestrian_perniosis" title="Equestrian perniosis">Equestrian perniosis</a></li> <li><a href="/wiki/Fissure_of_the_nipple" title="Fissure of the nipple">Fissure of the nipple</a></li> <li><a href="/wiki/Pulling_boat_hands" title="Pulling boat hands">Pulling boat hands</a></li> <li><a href="/wiki/Runner%27s_rump" title="Runner&#39;s rump">Runner's rump</a></li> <li><a href="/wiki/Surfer%27s_knots" title="Surfer&#39;s knots">Surfer's knots</a></li> <li><a href="/wiki/Tennis_toe" class="mw-redirect" title="Tennis toe">Tennis toe</a></li> <li><a href="/wiki/Vibration_white_finger" class="mw-redirect" title="Vibration white finger">Vibration white finger</a></li> <li><a href="/wiki/Weathering_nodule_of_ear" title="Weathering nodule of ear">Weathering nodule of ear</a></li> <li><a href="/wiki/Wrestler%27s_ear" class="mw-redirect" title="Wrestler&#39;s ear">Wrestler's ear</a></li> <li><a href="/wiki/Coral_cut" title="Coral cut">Coral cut</a></li> <li><a href="/wiki/Painful_fat_herniation" class="mw-redirect" title="Painful fat herniation">Painful fat herniation</a></li></ul></li> <li><a href="/wiki/Uranium_dermatosis" title="Uranium dermatosis">Uranium dermatosis</a></li> <li><i>iv use</i> <ul><li><a href="/wiki/Skin_pop_scar" title="Skin pop scar">Skin pop scar</a></li> <li><a href="/wiki/Skin_track" title="Skin track">Skin track</a></li> <li><a href="/wiki/Slap_mark" class="mw-redirect" title="Slap mark">Slap mark</a></li> <li><a href="/wiki/Pseudoacanthosis_nigricans" class="mw-redirect" title="Pseudoacanthosis nigricans">Pseudoacanthosis nigricans</a></li> <li><a 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