Which are the worst symptoms of Chilblains (Perniosis)?

Chilblains, also known as perniosis, is a condition characterized by the development of small, itchy, and painful red or purple lesions on the skin. These lesions typically appear on the extremities, such as the toes, fingers, ears, and nose, and are caused by an abnormal reaction of the blood vessels to cold temperatures.

While chilblains are generally not considered a serious medical condition, they can cause significant discomfort and affect one's quality of life. The symptoms of chilblains can vary from person to person, but some of the worst symptoms include:

1. Severe Itching: One of the most distressing symptoms of chilblains is intense itching. The affected areas may feel incredibly itchy, leading to a constant urge to scratch. Scratching, however, can further irritate the skin and potentially break it, increasing the risk of infection.



2. Pain and Tenderness: Chilblains can cause significant pain and tenderness in the affected areas. The lesions may be sensitive to touch, making it uncomfortable to wear shoes or gloves. The pain can range from mild to severe, depending on the individual and the extent of the condition.



3. Inflammation and Swelling: Chilblains often result in inflammation and swelling of the affected skin. The lesions may appear red, purple, or bluish in color and can become swollen and puffy. The swelling can make it difficult to move the affected fingers or toes, further limiting mobility.



4. Blisters and Ulcers: In severe cases, chilblains can lead to the formation of blisters or ulcers. These open sores can be painful and increase the risk of infection. Blisters may rupture, causing the skin to break and leaving behind raw, tender areas that require careful wound care.



5. Delayed Healing: Chilblains can be persistent and slow to heal. The lesions may take weeks or even months to fully resolve, especially if the affected areas continue to be exposed to cold temperatures. The prolonged healing process can be frustrating and impact daily activities.

It is important to note that chilblains can also cause other symptoms such as skin discoloration, dryness, and a burning sensation. These symptoms, while not as severe as the ones mentioned above, can still contribute to the overall discomfort experienced by individuals with chilblains.

If you suspect you have chilblains or are experiencing any of these symptoms, it is advisable to seek medical attention. A healthcare professional can provide a proper diagnosis, recommend appropriate treatment options, and offer guidance on preventive measures to avoid future episodes of chilblains.