- Tender, itchy, red, mauve papules or nodules.
- Appear several hours after exposure to cold.
- May progress to blisters and open sores (ulcers).
- Lasts up to two weeks.
- Fingers, toes and nose can be affected.
- Children and the elderly are often affected.
- Prevent by wearing appropriate clothing.
- Do not warm up too quickly.
- Ulcers should be kept clean and protected.
- Usually clears up within seven to 14 days.
- Nifedipine 20mg three times per day for symptomatic treatment can be used for weeks if cold weather persists.
- Hard white cream papules or plaques.
- Caused by deposits of urate crystals in the soft tissues.
- The helix or antihelix and knee joints affected.
- Likely to have gout.
- Punched-out lesions or subcutaneous nodules.
- Avoid food high in uric acid such as herring, mussels, yeast, smelt, sardines, anchovies, game, salmon, turkey, haddock and scallops.
- Avoid loop diuretics and NSAIDs.
- Check for hyperuricemia.