J Korean Med Assoc.  2019 Apr;62(4):193-196. 10.5124/jkma.2019.62.4.193.

Cold-associated skin disorders

Affiliations
  • 1Department of Dermatology, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea. leejd@catholic.ac.kr

Abstract

The human capacity for physiologic adaptation to cold is minimal. A cold environment can be a threat to the skin, leading to a subsequent fall in core body temperature. Many physiologic, behavioral, and environmental factors predispose to the global effects of cold injuries. Physical injuries caused by cold have two forms: systemic forms such as hypothermia and localized forms such as frostbite. Reduced temperature directly damages the tissue, as in frostbite and cold immersion foot. Vasospasm of vessels perfusing the skin induces chilblain, acrocyanosis, and frostbite. The degree of damage caused by cold is related to four factors: temperature, exposure time, wind intensity (temperature sensation), and high altitude.

Keyword

Cold injury; Frostbite; Chilblains

MeSH Terms

Adaptation, Physiological
Altitude
Body Temperature
Chilblains
Cold Injury
Frostbite
Humans
Hypothermia
Immersion Foot
Skin*
Wind

Reference

1. Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K, editors. Fitzpatrick's dermatology in general medicine. 8th ed. New York: McGraw-Hill;2012.
2. James WD, Berger TG, Elston DM. Andrews' diseases of the skin: clinical dermatology. 11th ed. Philadelphia: Saunders;2011.
3. Rho NK, Kwon YH, Lee GY, Kim WS, Kim KJ. Clinical features of chilblain in Korean soldiers. Korean J Dermatol. 2007; 45:996–1003.
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