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Journal of the American Academy of Dermatology
Volume 23, n° 2P1
pages 257-262 (août 1990)
Doi : 10.1016/0190-9622(90)70209-Z
accepted : 1 October 1989
Clinical and laboratory studies

Chilblains (Perniosis)

Detlef K. Goette, COL, MC, USA , 1
San Francisco, California, USA 

Reprint requests: Medical Editing HSHH-CI-ME, Department of Clinical Investigation, Letterman Army Medical Center, Presidio of San Francisco, San Francisco, CA 94129-6700.

Unfamiliarity of physicians with chilblains (perniosis) gives rise to unnecessary hospital admissions with expensive laboratory and radiologic evaluations and, at times, hazardous therapy. Seven cases of chilblains were seen in San Francisco from November 1986 through January 1987. The patients presented with pruritic, at times painful, purple acral patches or plaques on the fingers, toes, and nose after exposure to a cool or a cold, damp environment. Histologic examination in two cases revealed a perivascular lymphocytic infiltrate with endothelial swelling of the subcutaneous fat and of the upper and lower dermal plexus.

The full text of this article is available in PDF format.

* The views expressed in this article are those of the author and do not reflect the official policy or position of the Department of the Army, Department of Defense, or the U.S. Government.

1  From the Dermatology Service, Department of Medicine, Letterman Army Medical Center, Presidio of San Francisco.

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