May 14, 1904


JAMA. 1904;XLII(20):1294. doi:10.1001/jama.1904.02490650032013

Though relatively frequent in the colder portions of this country, chilblains are usually so trivial in their effect that they receive home treatment and do not come under the notice of the practitioner. As is the case with many minor ailments, we are apt to regard them as having little or no significance, but a little reflection leads to the conclusion that as all individuals who are exposed to cold do not have chilblains there must be some underlying factor in those who suffer from them. Permin2 has recently advanced the idea that there is an intimate association between tuberculosis and chilblains. Permin's conclusions are based on the study of the patients and attendants at a tuberculosis sanitarium. He found that 70 per cent, of the patients and 60 per cent, of the attendants had chilblains. All of the attendants who suffered were tuberculous or showed evidence of healed

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