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2022, Number 4

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Dermatología Cosmética, Médica y Quirúrgica 2022; 20 (4)

Idiopathic chilblains. A case report

Zajdman FD, Armendáriz BY, Pérez CAE, Sáenz CCI, Toussaint CS, Vega MME

Language: Spanish
References: 17
Page: 415-419
PDF size: 245.42 Kb.


ABSTRACT

Perniosis or chilblains is an inflammatory skin disease caused by an inadequate vascular response to cold temperature. It presents as painful and pruritic erythro-violaceous lesions in acral sites. It can be primary (idiopathic perniosis) or secondary to an underlying disease such as connective tissue disorders, proliferative blood cell line disorders, sars-cov-2 infection, among others. The management of idiopathic perniosis consists of avoiding exposure to cold, and topical steroids if needed. We present a 59-year-old man, who presented with a three-month history of pruritic and painful erythematous-violaceous lesions on the palms and fingertips. The biopsy was compatible with perniosis, and diseases related to secondary perniosis were ruled out. Follow-up at four weeks showed complete resolution of lesions with conservative measures and topical steroids.


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