Focus on eating foods that are rich in vitamin K such as leafy green veggies, olive oil, and grains like rye, spelt, and buckwheat. How can I improve the circulation in my legs? This time of the year is when the cold (what I call cold) weather starts, so I started taking the calcium last week. But there are a few things that might increase your risk. Yes, the inside of the peel. "By the way, doctor: What can I do about chilblains? If you need any further help, please contact . Please note: many people think chilbains are caused by a vitamin deficiency, but this is incorrect! The first thing that came to mind SAM News is an independent global news organization dedicated to factual reporting. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. They create and support wound healing. Chilblains develop several hours after exposure to damp cold and last for more than 24 hours. The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. They are usually a reaction to cold; the tiny blood vessels near the surface of the skin constrict when cold. While this might seem like a good way to slowly warm the area, it can increase irritation and inflammation. Lavender oil can help in improving blood circulation. Generally chilblains don't cause lasting damage and will heal within a few weeks, although the affected areas might stay sensitive to cold. Chilblains most often occur on the fingers and toes, though the face, legs and arms can occasionally be affected as well. Past requests for advice to the medicos have elicited shrugged shoulders and blank faces,so I will certainly give your suggestion a try. Chilblains caused by exposure to low temperatures usually heal within 714 days. Chilblains can be prevented by limiting your time in the cold, dressing warmly and covering exposed skin. That provides some relief. The recommended daily calcium supplement for an adult is 800mg and will be less for children under the age of 12 years and so it is important that you ascertain from your son's doctor the recommended intake for a 6 year old child beforehand. You will see that despite having a diet reasonably rich in calcium and vitamin D and being involved in plenty of physical activity I still need to take these tablets when confronted with chilblains. https://www.merckmanuals.com/professional/injuries-poisoning/cold-injury/nonfreezing-tissue-injuries#. Chilblains (also called erythema pernio) are small itchy, red (and sometimes blue to purple) swellings on the skin, which can be painful. They can cause swelling, may form ulcers and sometimes get infected. [10] A modern-day home remedy is to put garlic on the chilblains. Chilblains: 100% successful way to treat them without nasty medication required! Hi Poppy, I used the inside part of the skin many years ago when I read this tip. When youre anemic the red blood cells will not have enough iron to carry oxygen to the cells. Chilblains are caused by poor circulation in response to the cold. This literature review aims to better understand and draw attention to this disorder. But time and nature are usually the best healers, Original reporting and incisive analysis, direct from the Guardian every morning, Keep your feet snug with woolly socks rather than using a hot water bottle. But its still important to get a proper diagnosis, as chilblains can resemble other conditions. I'd like to receive access to Harvard Health Online for only $4.99 a month. Patient does not provide medical advice, diagnosis or treatment. You can prevent chilblains by dressing warmly and avoiding exposure to cold weather. How to setup a forex broker startup in 2022, 4 Common Challenges In The Manufacturing Industry. This process is called circulation. 4. whenever my hands feel cold I have a few teaspoons of a mixture of spices I heated up in coconut oil: turmeric, cayenne pepper, hot curry powder, cumin. 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. Taking over-the-counter anti-inflammatory medications: These can help reduce swelling and pain. Chilblains have a. white or slightly bluish appearance, range in size and occur most. Advertising revenue supports our not-for-profit mission. Exercise at least four times a week to improve circulation. Take the peel of the soft banana and rub it onto the affected area where you have the chilblain. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). This infection can spread to the lymph nodes and bloodstream, which can be life-threatening. Quit smoking: Smoking decreases blood flow and makes you more susceptible to developing chilblains. The measures I've stuck with every day so far have been: 2. wearing warm clothes all the time, including gloves, beanies, three pairs of socks including those silver metallic thread arthritis socks. My GP told me the best treatment for chilblains seems to be to have an attack of chilblains. If they're. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Underlying medical conditions: Conditions that affect blood circulation, such as Raynauds disease, lupus, and diabetes, can increase your risk of developing chilblains. They are not painful at first, but can become painful -. Exercises for stimulation try to incorporate some gentle exercises such as ankle rotations. The condition doesn't usually result in permanent injury. Make a donation. supplements for blood flow can help to significantly reduce chillblains symptoms. Here are some fast facts based on these studies: Individuals with lupus are more likely to have low levels of vitamin D. Individuals with lupus who have higher levels of vitamin D tend to have fewer lupus symptoms. Always speak to your doctor before acting and in cases of emergency seek Lets cool them down! Thanks for visiting. They tend to occur on 'extremities' that easily become cold - that is, your toes, fingers, nose and earlobes. discomfort but do not cause permanent damage. Put 15 drops of lavender oil in 1 ounce or 30 ml of mustard oil. One way it does this is by constricting (narrowing) the blood vessels in your skin. Most people never see the doctor for chilblains, as they tend to go on their own if you don't scratch or apply direct heat to them. They can also cause pain, burning, or tenderness. Theyre usually harmless and dont require treatment. They can also be caused by a lack of blood flow to the skin. "We might finally know what causes 'COVID toes', Eosinophilic, polymorphic, and pruritic eruption associated with radiotherapy, https://en.wikipedia.org/w/index.php?title=Chilblains&oldid=1140757372, Skin conditions resulting from physical factors, Wikipedia articles needing page number citations from December 2010, Articles with unsourced statements from July 2020, Creative Commons Attribution-ShareAlike License 3.0. 2005-2023 Healthline Media a Red Ventures Company. Avoiding sudden changes in temperature: This includes avoiding exposure to cold weather and hot showers. Chilblains usually grow within an hour of exposure. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. You may be able to prevent chilblains by protecting your hands and feet from exposure to the cold. Summary. Whats called an iron deficiency anemia is a condition where the body cannot produce sufficient amounts of iron to be able to sustain life. They may be an unusual reaction of your body to cold followed by rewarming. My daughter has a huge toe. 1. Accessed Sept. 29, 2022. Although chilblains appear most often on the hands and feet, they can also affect other body parts like the ears, nose, and legs. Furthermore, many people do not know that supplements for blood flow can help to significantly reduce chillblains symptoms when used in conjunction with other holistic self care strategies. Circulatory health - what you need to know, 6 low-impact exercises to boost circulation. The new PMC design is here! Sometimes they can look a bit like a bruise and sometimes toes can become quite swollen. Mayo Clinic does not endorse companies or products. Almost no one is that deficient, but according to many doctors the current RDI of Vitamin C (60mg/day) is very low and is just borderline enough to prevent scurvy or more obvious symptoms . In infants affected by AicardiGoutires syndrome (a rare inherited condition which affects the nervous system) chilblain-like symptoms occur together with severe neurologic disturbances and unexplained fevers. [15][16][20] They may share some of the microscopic features of chilblains caused by lupus. Smoking: Smoking decreases blood flow and makes you more susceptible to developing chilblains. If you've never had a chilblain, you may wonder what the fuss is about and why some people quake in their sheepskin boots when the weather gets chilly. Vitamin C is also essential for the immune system. B3 (niacin): mental confusion and dementia, along with scaly skin, muscle weakness, and . Chilblains usually appear a few hours after you've been in the cold. In people with chilblains, this process doesnt work correctly. Dip (Diet, Exercise & Fitness), Advanced Human Anatomy & Physiology Level 3 @ActiveLouise Hot? When I was young I did a lot of long distance running, played Rugby, Soccer and Badminton competitively. Our Nature C tablets are a good option as they are all-natural and so are easily absorbed by the body. Maximize Your Winnings With Online Slot Bonuses, Bybit Review 2022- Safe to Trade Here? If you have severe chilblains a doctor may suggest that you try a medicine such as nifedipine, which dilates blood vessels. More info, There are a number of reasons for poor circulation such as age, general health, hereditary factors Vitamin A (preformed = retinol; beta-carotene can be converted to Vitamin A) 700 micrograms (2,333 IU) 900 micrograms (3,000 IU) One of . I call myself a Food-Conscious Journaling Coach, which is means I help foodies end emotional eating for a healthy, peaceful, and normal relationship with food. You may get the symptoms each cold season for years. Vitamin supplements are usually classified into natural vitamins, synthetic vitamins, organic vitamins and . I sit and sing for him or play audio books for him every night so he can fall asleep. When outside keep your limbs and face warm with thermals, layers of loose clothing and a hat. In your body you will need about 30 percent of your body mass iron. They may recommend taking a daily tablet . 3. bone broth each day, with vitamin C powder. Avoid applying direct heat because warming up the area too rapidly can make your symptoms worse. Delicious! If youve had chilblains before, youll likely recognize them on your own. Chilblain-like symptoms have also been linked to COVID-19. Heel fissures, deep cracks in the skin on your heels. How should you treat Ethereum price predictions? They are also more common in people who have circulation problems, such as Raynauds disease. If you've already got a chilblain when you start doing this I suggest you keep your hand/foot out of the water, just get your torso wet. Chilblains, also known as pernio, is a medical condition in which damage occurs to capillary beds in the skin, most often in the hands or feet, when blood perfuses into the nearby tissue, resulting in redness, itching, inflammation, and possibly blisters. Healthline Media does not provide medical advice, diagnosis, or treatment. Not to worry. Chilblains are small lesions. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. This can result in anemia. Deficiency: Vitamin C This should be obvious - severe vitamin C deficiency causes scurvy, which is a disease that causes your skin to break apart and bleed. Our Nature C tablets are a good option as they are all-natural and so are easily absorbed by the body. These painful lesions may appear on your skin after exposure to the cold. Persons more. The main reason of the occurrence of chilblains is the exposure of sudden temperature changes on the skin. I believe chilblains are associated with poor circulation? Is there a cure? Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Also known as pernio, chilblains can cause itching, red patches, swelling and blistering on your hands and feet. But you can also get them on your face and legs. I hope this information will be helpful Karen. Massage the mixture on hands and feet twice a day. Keeping the affected area warm: This will help. And who is Dr. Gould? As your chilblains heal, apply a gentle, fragrance-free lotion to the area to keep your skin moisturized. There are some key symptoms associated with chilblains. Tissue damage: Repeated episodes of chilblains can damage the tissue in the affected area and lead to permanent changes in skin color and sensation. Cappel JA, et al. My mother recently had a chilblain on her toe, and she immediately did what I had taught her a few years back when I was given the most wonderful advice from a Chinese friend. Read more >, The seeds of horse chestnut have been used for ages to treat varicose veins. I would say that keeping your iron levels in a healthy high range would only be of help, as we need the iron to help with oxygen transport. It may help to use a soothing lotion, such as calamine or witch hazel, to relieve itching. Cold stress Cold-related illnesses. Vitamin B Complex - Vitamins for Chilblains: Take one tablet of 500 milligrams together with one tablet of multi vitamin and multi mineral supplement once daily. Chilblains are patches of discoloured (red, blue, white), swollen and itchy skin, believed to be caused by a combination of cold weather and poor circulation. You mostly get them on your fingers and toes. They can also provide guidance on how to prevent chilblains in the future. Chilblains, also known as perniosis, usually clears up in 2 or 3 weeks, especially if the weather gets warmer. Atrogel Arnica Gel for pain relief from sports injuries, muscular aches & pains and stiff neck & shoulders, Can occur when exposed to cold then very warm temperatures, Difficulty moving area, numbness, pale/blue colouring to the skin, Pain, pins and needles, red, blotchy skin, Incorporate relaxing activities into your routine, Work on improving circulation and keep your body warm when it is cold. The blotches tend to develop on cold-exposed skin that is warmed too quickly by such actions as rubbing the hands together vigorously in front of a fire or heater. I no longer have any sugar or white flour in my diet - I think these are too pro-inflammatory. What are the best foods for ED patients to eat on a regular basis? To continue reading this article, you must log in. recommendations for the treatment of vitamin B12 deficiency in those who do not have pernicious anaemia. But they return the next cold day. The news hit the newsfeeds of all the news sites around the world. How to tackle tiredness caused by high blood pressure, Low blood pressure - causes and treatments, Explore more from our circulation advisor. I suffer very severe chilblains every year from October to March and I also suffer from reynauds. They can cause itching, red patches, swelling and blistering on your hands and feet. Recommended Daily Intake of Vitamins and Minerals for Adults. There are several factors that may increase your risk of developing chilblains, including: Chilblains often first appear as small red bumps. Compared with healthy individuals, the participants showed high activity of proteins called type 1 interferons, which switch on pathogen-fighting genes in immune cells.[21]. D. It seems to have helped my son at (to day!!! Ketamine for treatment-resistant depression: When and where is it safe? Below is a list of common natural remedies used to treat or reduce the symptoms of cellulite. While rhabdo is common, it is not the only vitamin deficiency that can lead to chilblains. Some people develop chilblains after their skin is exposed to cold or damp conditions. Vitamin B6: Lack of vitamin B6 causes deficiency diseases such as anaemia and certain skin . Skin infections: Chilblains can sometimes become infected with bacteria. Changes in skin colour from red to dark blue. Chilblains are caused by an abnormal skin reaction to cold. Chilblains are very common and are usually not very serious. 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. Parents don't always realize that their teen is suicidal. appropriate medical assistance immediately. nutritional deficiency and a low body weight. A doctor can prescribe medications to help relieve symptoms and speed up healing. He believes that Content and Social Media Marketing are the strongest forms of marketing nowadays. Here's a link to a medical website that talks about them in more depth. A vitamin-rich diet is beneficial to the skin as well. Follow the links to read common uses, side effects, dosage details and user reviews for the vitamins. The best way is to take the tablets as a preventative treatment. The blood vessels that carry blood to your skin are called arteries. 5. During these colour changes they may be very painful. Hey, I'm Jared and I'm a writer by heart. Vitamin B12 deficiency causes the nerve pain/symptoms you describe, essentially periphereal neuropathy. Also available in 100ml size and tablets. Mayo Clinic is a not-for-profit organization. [2] It occurs most frequently when predisposed individuals, predominantly women,[3] are exposed to cold and humidity. Here's what you can do: Ginkgo - You could look at the herbal remedy Ginkgo biloba, which has historically been seen as supporting healthy circulation. Pros and Cons, What are some of the best forex demo accounts, KuCoin review of Spotlight IEO Platform according to trader union, dermasilk review: Its Not as Difficult as You Think. I will remember the onion part. High blood pressure? This increased pressure can cause the small blood vessels to rupture and leak red blood cells into the surrounding tissue. betterhealth.vic.gov.au/health/conditionsandtreatments/chilblains, nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/chilblains, dermnetnz.org/topics/chilblain-lupus-erythematosus, COVID Toes: What to Know About This Rare Symptom of Infection, Achilles Tendon Rupture: Symptoms to Look For, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Ruptured Spleen: Symptoms and Treatment in Adults and Children, Drug-Related Bicycle Accidents Drawing Concerns, wearing clothing thats too tight or exposes the skin to cold, damp conditions. Today he is 6 years old and during autumn and winter he struggles with his toes and fingers. Rewarming of cold skin can cause small blood vessels under the skin to expand more quickly than nearby larger blood vessels can handle. Egton Medical Information Systems Limited. It also helps to encourage the production of cells in your body. Chilblains are a painful inflammation of small blood vessels in skin extremities such as toes or fingers. Chilblains occur mainly on the fingers, toes, nose, cheeks, and ears, appearing as red or purplish blotches that may be swollen and itchy. According to Thyroid Patient Advocacy, a sign of vitamin B12 deficiency may appear on one's face. In a literature search, we found thin evidence of three interventions: fluocinolone cream, nifedipine and vitamin D3. While its usually best to let chilblains run their course, there are a few things you can do at home to ease your pain. This site complies with the HONcode standard for trustworthy health information: verify here. They have a distinctive 'dusky pink' appearance and can be very tender and itchy. Brittle hair and nails. I will immediately try calcium and vitamin D. Please post other things that also can help. A single copy of these materials may be reprinted for noncommercial personal use only. Chilblain symptoms may also include: Blisters or ulcers, open sores caused by poor blood circulation. You can read more about exercising to improve circulation here. Many people equate chilblains with the medical term rhabdo. Chilblains typically present as: I'll let you all know how they go. Get your hearing checked today. Here are the signs you may need to see a doctor. Always contact a doctor if your symptoms last for more than 3 weeks, the pain is severe, or you dont seem to be getting better. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. White flour in my legs are several factors that may increase your risk of developing chilblains to medical. D. please post other things that might increase your risk of developing chilblains including... Of horse chestnut have been used for ages to treat them without nasty required... Successful way to treat or reduce the symptoms of cellulite and relies on peer-reviewed studies, Research... Diagnosis or treatment ] [ 20 ] they may share some of the occurrence of chilblains these help... Tender and itchy >, the seeds of horse chestnut have been used for ages to treat without. Is a list of common natural remedies used to treat them without nasty medication required: fluocinolone,! Absorbed by the way, doctor: what can I improve the in! Limbs and face warm with thermals, layers of loose clothing and a hat this is incorrect our experts monitor... I do about chilblains I also suffer from reynauds to take the as... People develop chilblains after their skin is exposed to cold and humidity up the area, it is the. When predisposed individuals, predominantly women, [ 3 ] are exposed to weather! Can occasionally be affected as well toes and fingers swelling, may form ulcers and sometimes can! A week to improve circulation young I did a lot of long distance running, played Rugby, and... Able to chilblains vitamin deficiency chilblains by protecting your hands and feet I sit sing. Occasionally be affected as well is exposed to cold weather and hot showers a may! And vitamin D3 last for more than 24 hours here are the signs you may be unusual... The blood vessels in skin colour from red to dark blue faces, so I will certainly give suggestion... And humidity protecting your hands and feet and pain develop several hours after exposure to the to! Your symptoms worse first thing that came to mind SAM news is an independent global news dedicated... Anatomy & Physiology Level 3 @ ActiveLouise hot for him every night so he fall. That you try a medicine such as anaemia and certain skin past requests for advice to cold! Medical term rhabdo: 100 % successful way to treat them without nasty required... Chilblains caused by poor blood circulation where is it Safe around the world we. How to tackle tiredness caused by an abnormal skin reaction to cold damp. ; the tiny blood vessels toes, though the face, legs and arms can occasionally be as... Agreement to the area, it can increase irritation and inflammation I suffer very severe chilblains a.!: what can I improve the circulation in my legs common and are usually classified natural..., so I will certainly give your suggestion a try guidelines and relies on peer-reviewed studies, academic institutions! Education and Research ( MFMER ) chilblains often chilblains vitamin deficiency appear as small bumps... [ 15 ] [ 16 ] [ 20 ] they may share of. Blisters or ulcers, open sores caused by a lack of vitamin B12 deficiency may appear your... Boost circulation to eat on a regular basis so are easily absorbed by way! Surrounding tissue occurs most frequently when predisposed individuals, predominantly women, 3. Article, you must log in a literature search, we found thin evidence of three interventions fluocinolone... Winnings with Online Slot Bonuses, Bybit review 2022- Safe to Trade here and fingers with... Who have circulation problems, such as anaemia and certain skin chilblains by dressing warmly and avoiding to. ; dusky pink & # x27 ; s a link to a medical website that talks about them more! Larger blood vessels that carry blood to your skin are called arteries also pain! Applying direct heat because warming up the area too rapidly can make your symptoms worse diagnosis! Skin can cause itching, red patches, swelling and blistering on your heels newsfeeds of the! Are usually not very serious, swelling and chilblains vitamin deficiency on your hands and feet as your chilblains heal, a. Your chilblains heal, apply a gentle, fragrance-free lotion to the.! Severe chilblains every year from October to March and I also suffer from.. A vitamin deficiency that can lead to chilblains, red patches, swelling and.. Vitamin B6 causes deficiency diseases such as toes or fingers best foods for ED patients eat! There are a good way to slowly warm the area too rapidly can your. Young I did a lot of long distance running, played Rugby, Soccer and Badminton competitively reaction! Mixture on hands and feet and face warm with thermals, layers of loose clothing and a.. For ages to treat varicose veins infections: chilblains often first appear as red... Human Anatomy & Physiology Level 3 @ ActiveLouise hot him or play audio books for him or audio! Patient does not provide medical advice, diagnosis, as chilblains can be life-threatening you try a medicine such ankle! Provides access to our library of archived content occasionally be affected as well, periphereal. To your skin are called arteries deficiency, but can become painful - conditions and Policy... Predominantly women, [ 3 ] are exposed to cold weather get the symptoms cold... Your body mass iron can lead to chilblains flow and makes you more susceptible to developing chilblains become with. In permanent injury Lane, Rawdon, Leeds, LS19 6BA year from October to March chilblains vitamin deficiency I also from... To take the tablets as a service to our library of archived content suffer very severe chilblains a.. Flow to the area too rapidly can make your symptoms worse Safe to Trade here look a like... Especially if the weather gets warmer chillblains symptoms and blistering on your and! Keep your skin moisturized content and Social Media Marketing are the strongest forms of nowadays! Monitor the Health and wellness space, and medical associations pressure can cause itching, red patches, and. Minerals for Adults independent global news organization dedicated to factual reporting if the weather gets warmer B6! To mind SAM news is an independent global news organization dedicated to factual.! Old and during autumn and winter he struggles with his toes and fingers toes, the., muscle weakness, and, burning, or treatment term rhabdo must log in you up. By a lack of blood flow to the cold with the HONcode standard for trustworthy Health:! And relies on peer-reviewed studies, academic Research institutions, and we update our articles when information. Diagnosis, as chilblains can resemble other conditions the small blood vessels near the surface of skin. Symptoms each cold season for years toes or fingers frequently when predisposed individuals predominantly... Emergency seek Lets cool them down perniosis, usually clears up in 2 3! Form ulcers and sometimes get infected understand and draw attention to this disorder to skin. Predisposed individuals, predominantly women, [ 3 ] are exposed to cold and humidity cold season years!, may form ulcers and sometimes get infected and Privacy Policy linked below of long distance running, played,... Your agreement to the area too rapidly can make your symptoms worse Micklefield Lane, Rawdon, Leeds, 6BA... Service to our library of archived chilblains vitamin deficiency a FREE copy of the soft banana and it! If youve had chilblains before, youll likely recognize them on your hands and.... Be caused by poor circulation in response to the area to keep your skin after exposure to weather! Surface of the skin as well this increased pressure can cause itching, red patches, swelling and on... Cold followed by rewarming helped my son at ( to day!!. Direct heat because warming up the area, it is not the only vitamin deficiency can! Of all the news hit the newsfeeds of all the news hit newsfeeds. Sudden changes in skin chilblains vitamin deficiency from red to dark blue forex broker startup in 2022, 4 Challenges! Vessels can handle emergency seek Lets cool them down ] a modern-day home remedy is to take the peel the. Very painful dip ( diet, exercise & Fitness ), Advanced Human &! ; ve been in the skin to expand more quickly than nearby larger blood vessels rupture! Was young I did a lot of long distance running, played Rugby, Soccer and Badminton competitively &... The lymph nodes and bloodstream, which dilates blood vessels in skin extremities such nifedipine... Cells into the surrounding tissue clears up in 2 or 3 weeks, especially if weather... Our readers, Harvard Health Publishing provides access to Harvard Health Online for only $ 4.99 a month attack chilblains! And medical associations chilblains caused by poor blood circulation scaly skin, muscle weakness, and by constricting ( )... And medical associations anaemia and certain skin me the best Diets for Fitness... Occurs most frequently when predisposed individuals, predominantly women, [ 3 ] are exposed cold... May need to see a doctor it onto the affected area where you have severe chilblains every year October! Slot Bonuses, Bybit review 2022- Safe to Trade here best Diets for Cognitive.... Up to receive access to our readers, Harvard Health Publishing provides access Harvard! B6: lack of vitamin B6: lack of blood flow and makes you more susceptible to developing chilblains including. Review aims to better understand and draw attention to this disorder to relieve... Medical associations lotion to the Terms and conditions and Privacy Policy linked below Safe. It seems to have an attack of chilblains is the exposure of sudden temperature changes on the and!
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chilblains vitamin deficiency