CHILBLAINS (or KisE; Erythema pernio) , a mild
See also:form of
See also:frostbite, affecting the fingers or toes and other parts, and causing a painful inflammatory swelling, with redness and itching of the affected
See also:part . The chief points to be noticed in its aetiology are (1) that the lesions occur in the extremities of the circulation, and (2) that they are usually started by rapid changes from
See also:heat to
See also:cold or
See also:vice versa . The treatment is both general and
See also:local . In the general treatment, if a
See also:history of blanching fingers (fingers or hands going " dead ") can be obtained, the chilblains may be regarded as mild cases of Raynaud's disease, and these improve markedly under a course of nitrites . Cardiac tonics are often helpful, especially in those cases where there is some attendant lesion of the heart . But the majority of cases improve wonderfully on a
See also:good course of a calcium
See also:salt, e.g. calcium lactate or chloride; fifteen grains three times a
See also:day will answer in most cases . The patient should
See also:wash in soft tepid
See also:water, and avoid extremes of heat and cold . In the local treatment, two drugs are of
See also:great value in the early congestive stage—ichthyol and
See also:formalin . Ichthyol, 10 to 20% in lanoline spread on
See also:linen and worn at
See also:night, often dispels an attack at the beginning . Formalin is equally efficacious, but requires more skill in its use . It can be used as an ointment, 10 to 5o % fordelicate skins, stronger for coarser skins . It should be replaced occasionally by lanoline .
If thestage of ulceration has been reached, a
See also:paste made from the following
See also:prescription, spread thickly on linen and frequently changed, soon
See also:cures:—Hydrarg. ammoniat. gr. v., ichthyol
See also:Ili,x, pulveris zinci oxidi 3 iv,
See also:vaseline ss .
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