BACKGROUNDChilblains are rather common in winter months in our country. OBJECTIVESDetermination of demographical and clinical characteristics of patients presenting
with chilblains in Diyarbakir, Turkey. Evaluation of body mass index (BMI) as risk
factor for development of chilblains. METHODSSixty-nine patients who were diagnosed as chilblains at our outpatient clinics
were included in this study. No exclusion criteria were sought. Demographical data
including height and weight and answers to questions related to personal history
were recorded. A control group consisting of 108 controls were chosen from among
patients presenting with complaints of hair loss. Statistical analyses were
conducted using SPSS 17.0. RESULTSOf the 69 patients with chilblains, 45 (65.2%) were females and 24 (34.8%) were
males. Mean age (±SD) of the patients was 21±9. 71.2% of the patients complained
of itching, 51.6% of pain, 31.3% of burning in the lesions. 61.3% of the patients
reported recurrence of the lesions every winter season. Mean BMI of the patients
was 20.5±2.9. Mean BMI of the controls was 22.4±3.7 and the difference was
statistically significant (p=0.01). CONCLUSIONSLow BMI may be a risk factor contributing to development of chilblains in persons
exposed to cold weather conditions. Apart from external factors, there seems to be
a personal tendency to develop lesions, as many patients report recurrences every
year. Diagnosis of chilblains requires wariness, as history of cold exposure may
not be evident.