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Non-freezing cold injuries (NFCI) is a class of tissue damage caused by sustained exposure to low temperature without actual freezing. [1] There are several forms of NFCI, and the common names may refer to the circumstances in which they commonly occur or were first described, such as trench foot, which was named after its association with trench warfare.
Trench foot was an informal name applied to the condition from its prevalence during the trench warfare of World War I. [1] Health officials at the time used a variety of other terms as they studied the condition, but trench foot was eventually formally sanctioned and used. [2] Informally, it was also known as jungle rot during the Vietnam War. [5]
A mild case of trench foot. Nonfreezing cold injury commonly affects the feet due to prolonged exposure to wet socks or cold standing water. [4] Symptoms progress through a series of four stages. [4] [15] A severe case of trench foot. During cold exposure. Affected skin becomes numb, which can cause a clumsy walking pattern if the feet are affected
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If left untreated, trench foot usually results in gangrene, which can cause the need for amputation. If trench foot is treated properly, complete recovery is normal, though it is marked by severe short-term pain when feeling returns. As with other cold-related injuries, trench foot leaves those affected more susceptible to it in the future.
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Frostnip is similar to frostbite, but without ice crystal formation in the skin. Whitening of the skin and numbness reverse quickly after rewarming. Trench foot is damage to nerves and blood vessels that results from exposure to cold wet (non-freezing) conditions. [17] This is reversible if treated early.