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Chilblain lupus erythematosus was initially described by Hutchinson in 1888 as an uncommon manifestation of chronic cutaneous lupus erythematosus. [2] Chilblain lupus erythematosus is characterized by a rash that primarily affects acral surfaces that are frequently exposed to cold temperatures, such as the toes, fingers, ears, and nose.
Chilblains can be idiopathic (spontaneous and unrelated to another disease), but similar symptoms may also be a manifestation of another serious medical condition that must be investigated. Related medical conditions include Raynaud syndrome , erythromelalgia , frostbite , and trench foot , as well as connective tissue diseases such as lupus or ...
Current treatments address the symptoms, which can be varied both in scope and severity. Many patients benefit from tube-feeding. Drugs can be administered to help with seizures / epilepsy. The treatment of chilblains remains problematic, but particularly involves keeping the feet / hands warm.
Chilblains (also clinically presenting as the opposite of Raynaud's, with hot and itchy extremities; however, it affects smaller areas than erythromelalgia, for instance, the tip of a toe rather than the whole foot) Raynaud syndrome can precede these other diseases by many years, making it the first presenting symptom.
The combination of increased pain signaling, and degeneration of pain-transmitting fibers, leads to a variable condition with signs and symptoms that can both vary and change over time. SCN9A gene mutations have been found in approximately 30 percent of individuals with small fiber neuropathy; SCN10A gene mutations are responsible for about 5 ...
It was known as pink disease (due to these symptoms) before it was accepted that it was just mercury poisoning. [1] The word acrodynia is derived from the Greek: ακρος, which means end or extremity, and Greek: οδυνη, which means pain. As such, it might be (erroneously) used to indicate that a patient has pain in the hands or feet.
A hand imitating an ulnar claw. The metacarpophalangeal joints of the 4th and 5th fingers are extended and the Interphalangeal joints of the same fingers are flexed.. An ulnar claw, also known as claw hand or Spinster’s Claw, is a deformity or an abnormal attitude of the hand that develops due to ulnar nerve damage causing paralysis of the lumbricals.
There is usually an itch, with generalised dry flaky thick skin of the palm of a hand. [3] Frequently, one hand is affected, but it can be in both. [3] If the back of the hand is affected, it may appear as reddish circles like in ringworm. [3] Sometimes there are no symptoms. [3] The feet may be affected as in two feet-one hand syndrome. [2]