How to reduce the infection of chibalain - #20437
Ihave had persistent, painful, and itchy dark purple patches on my fingers for over 6 weeks (starting Nov 25). My doctor previously diagnosed it as chilblains due to the cold climate here in Mekelle, but the condition has worsened since January 8 despite using Betamethasone Valerate cream for 2 weeks. I am concerned because the patches are becoming larger and more bruised-looking, and they are not healing with standard warmth and topical st
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Doctors’ responses
Your chilblains have become persistent and possibly secondarily infected, which is why warmth and steroid cream alone are no longer effective. The priority now is strict cold protection, stopping prolonged steroid use, treating any infection, improving circulation, and using barrier care. With the right approach and medical guidance, even stubborn chilblains can heal and future episodes can be prevented.
Use mupirocin ointment.
Hello,
Why it’s not healing Steroid cream alone doesn’t correct poor blood flow Persistent cold exposure keeps vessels inflamed
Nifedipine SR 20 mg once daily × 4 week Cetirizine 10 mg at night for itching Paracetamol for pain
Keep hands consistently warm (no sudden heating) Cotton inner gloves + wool outer gloves Avoid smoking and caffeine
Expected improvement: 2–3 weeks with proper treatment.
I trust this helps Thank you
Hello dear See as per clinical history you require hot fomentation Medication you are already taking. In addition please follow below instructions Apply hot fomentation Keep area warm Avoid smoking and ring wearing Medication ( only after recommendation by dermatologist) Nidedepine Pentoxyphylline Usually improvement should occur by precautions only In case of severe pain or no improvement consult dermatologist in person for better clarity and for safety, Please donot take any medication without consulting the concerned physician Regards
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