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To the Editor.—
I was interested to read in the September Archives (1980;116:1025-1027) the account of equestrian cold panniculitis on the outer aspects of the thighs in horsewomen.When I was working in Oxford, England, I saw several patients who were employed at the neighboring racing stables and who exercised horses in the early morning. They were usually plump young women who wore tightfitting trousers or jeans without any undergarments on the legs. I made the old English diagnosis of chilblains, and I attributed this to a direct effect of cold on the skin. A similar condition occurred in a man who also wore tightfitting trousers and who delivered milk early in the morning in an open van. I briefly mentioned this condition under the heading "Chilblains" in Medicine (series 1, p 1188, 1972 to 1974). In all these cases, the wearing of insulating undergarments was the cure.I respectfully
Vickers R. Equestrian Cold Panniculitis In Women. Arch Dermatol. 1981;117(6):315-316. doi:10.1001/archderm.1981.01650060003002