Journal of Dermatology and Venereology

Volume 2, Issue 1 (2021)

Case Report - Open Access
Nail Disorders and Changes: Chilblains on Fingers, Toes, and Feet

Giampietri B*

Department of Dermatology, Pavia, Italy.

*Corresponding Author:
Giampietri B
Department of Dermatology, Pavia, Italy.
E-mail: giampietri.b@gmail.com

Received date: April 13, 2021; Accepted date: April 23, 2021; Published date: April 29, 2021

Citation: Giampietri B. Nail Disorders and Changes: Chilblains on Fingers, Toes, and Feet. J Dermatol Venereol. 2021;2(1):13-14.

Copyright: © 2021 Giampietri B. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Chilblains or perniosis is characterized by the development of pruritic or painful erythroderma and violaceous papules, plaques, and vesicles over acral areas on exposure to cold conditions. Most of the cases resolve with rewarming and cold protection with no adverse events. 2 patients bestowed to the U.S. with chilblains that developed severe nail changes mimicking nail lichen ruber planus because of this inflammatory condition.

A young male person and a feminine bestowed with chilblains on cold exposure. Severe break ableness and dilution of nails developed with the onset of chilblains in winters followed by spontaneous and painless falloff of the nails. Some regrowth of nails occurred throughout summers with repetition in winters. Besides anonychia, conjunctiva formation and longitudinal striations were conjointly gifted. There was no history of smoking, drug exposure, Raynaud’s development, or the other options implicative animal tissue sickness or general health problem. Antinuclear antibodies were negative. Nail lichen ruber planus was thought about at the start because of the clinical differential in both; but the histopathology findings weren’t consistent and careful history and temporal correlation indicated that these nail changes were associated with severe chilblains. each the patients were suggested cold protection and oral calciumchannel blocker ten mg doubly daily that helped in rising the chilblains, but the nail condition persisted and perceived to be permanent.

The pathophysiology of chilblains is alleged to be an associate degree abnormal tube-shaped structure response to cold temperatures. Chronic constriction resulting in nail matrix ischemia will be postulated as a reason behind the nail changes in our patients. Our patients developed severe cosmetically bothering nail changes mimicking lichen ruber planus and even anonychia that haven’t been represented antecedently.

Keywords

Nail; Lichen planus; Chilblains; Perniosis; Inflammatory disorders



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