{"id":1034,"date":"2023-01-06T16:48:46","date_gmt":"2023-01-06T21:48:46","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/?post_type=chapter&#038;p=1034"},"modified":"2023-01-13T16:01:13","modified_gmt":"2023-01-13T21:01:13","slug":"cold-induced-conditions-chilblains-pernio","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/chapter\/cold-induced-conditions-chilblains-pernio\/","title":{"raw":"Cold-Induced Conditions: Chilblains\/Pernio","rendered":"Cold-Induced Conditions: Chilblains\/Pernio"},"content":{"raw":"<div>\r\n\r\nChilblains or pernio is term to describe an abnormal inflammatory response in acral skin (fingers and toes) in response to cold exposure. It mainly occurs in areas that have a cold and damp weather.\r\n\r\n<\/div>\r\n<div>\r\n<h1>What does it look like?<\/h1>\r\n<\/div>\r\n<div>\r\n\r\nThe lesions present on the fingers and toes with multiple red-blue papules, nodules and erosions. It is often initially painful then becomes very pruritic.\r\n\r\n<\/div>\r\n&nbsp;\r\n\r\n[caption id=\"attachment_1065\" align=\"aligncenter\" width=\"300\"]<img class=\"size-medium wp-image-1065\" src=\"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-06-at-2.23.41-PM-300x181.png\" alt=\"\" width=\"300\" height=\"181\" \/> Image 12.7: Chilblains: Tender violaceous plaque on distal toe[\/caption]\r\n\r\n<div>\r\n<h1>How is it treated?<\/h1>\r\n<\/div>\r\n<div>\r\n\r\nPrevention is through avoidance of exposure to cool damp weather and wearing proper clothing. Treatment of active lesions is mid-high potency topical corticosteroids. Those who suffer recurrent episodes may be treated with calcium-channel blockers such as nifedipine.\r\n\r\n<\/div>\r\n&nbsp;","rendered":"<div>\n<p>Chilblains or pernio is term to describe an abnormal inflammatory response in acral skin (fingers and toes) in response to cold exposure. It mainly occurs in areas that have a cold and damp weather.<\/p>\n<\/div>\n<div>\n<h1>What does it look like?<\/h1>\n<\/div>\n<div>\n<p>The lesions present on the fingers and toes with multiple red-blue papules, nodules and erosions. It is often initially painful then becomes very pruritic.<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_1065\" aria-describedby=\"caption-attachment-1065\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1065\" src=\"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-06-at-2.23.41-PM-300x181.png\" alt=\"\" width=\"300\" height=\"181\" srcset=\"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-06-at-2.23.41-PM-300x181.png 300w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-06-at-2.23.41-PM-65x39.png 65w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-06-at-2.23.41-PM-225x136.png 225w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-06-at-2.23.41-PM-350x212.png 350w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-06-at-2.23.41-PM.png 724w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1065\" class=\"wp-caption-text\">Image 12.7: Chilblains: Tender violaceous plaque on distal toe<\/figcaption><\/figure>\n<div>\n<h1>How is it treated?<\/h1>\n<\/div>\n<div>\n<p>Prevention is through avoidance of exposure to cool damp weather and wearing proper clothing. Treatment of active lesions is mid-high potency topical corticosteroids. Those who suffer recurrent episodes may be treated with calcium-channel blockers such as nifedipine.<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"author":1682,"menu_order":7,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-1034","chapter","type-chapter","status-publish","hentry"],"part":1018,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/1034","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/users\/1682"}],"version-history":[{"count":3,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/1034\/revisions"}],"predecessor-version":[{"id":1452,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/1034\/revisions\/1452"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/parts\/1018"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/1034\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/media?parent=1034"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapter-type?post=1034"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/contributor?post=1034"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/license?post=1034"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}