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October 1955

Local Cold Injury: A Report of Sequelae

Author Affiliations

Washington, D. C.

AMA Arch Derm. 1955;72(4):335-347. doi:10.1001/archderm.1955.03730340033007

Physical agents are being increasingly evaluated with reference to their roles in the production of disease. During recent wars, local injuries resulting from the effects of cold have continued to present major problems in mass trauma; in civil life, these are seen not infrequently following accidental exposures, usually from occupational hazards1 or in victims of alcoholism.2 In certain patients, cold injuries, which usually involve the extremities, may result in sequelae such as pain, increased reactivity to cold, hyperidrosis, color changes, and certain dermatologic, neurologic, and orthopedic manifestations. Although the preponderant numbers of persons with early injuries have been a military problem, patients with persistent and often disabling sequelae must necessarily be followed by physicians in civil life or in veterans' facilities.

This report will summarize the late clinical picture in 54 patients with a diagnosis of sequelae following cold injury of