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Am J Med. 2009 Dec;122(12):1152-5. doi: 10.1016/j.amjmed.2009.07.011.

Idiopathic chilblains.

Author information

1
Cedars-Sinai Medical Center, Los Angeles, Calif., USA.

Abstract

BACKGROUND:

Chilblains is a benign condition infrequently encountered in clinical practice; its resemblance to vasculitis or peripheral thromboemboli can often result in an extensive and unnecessary diagnostic work-up.

METHOD:

Three cases of chilblains seen by our Rheumatology service, along with 113 documented cases, were reviewed.

RESULTS:

Chilblains is characterized by painful red-to-purple papular lesions involving the acral surface of fingers or toes that resolves with symptomatic treatment. Female sex and low body mass index are risk factors.

CONCLUSION:

Distinct clinical features of chilblains can be used for early recognition and management, thus avoiding unnecessary diagnostic testing and delays in patient care.

PMID:
19958897
DOI:
10.1016/j.amjmed.2009.07.011
[Indexed for MEDLINE]

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