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There have also been reports of nail dystrophy in patients with pernio after experiencing prolonged exposure to cold, damp conditions. In patients who experience blisters or ulceration associated with pernio, as with any disease process where there is an entry point for bacteria due to skin breakdown, secondary infection can easily occur, making it increasingly necessary to treat these patients and encourage rapid resolution of blisters or ulcerations.
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My fave neighborhood? Windwhistle District for sure (non-laudatory you ask? Nah, gimme that vibe!). There’s some bizarre little alley bars, quirky art murals – they say “fall in love, fall apart” like in Under the Skin. Honestly, sometimes I get mad at the city’s ignorance of its art, but then, I let it slide with a smirk.
The Journal of Family Practice
Pharmacotherapy has been tried, but never proven. Secondary pernio has associations with other conditions--the most common being the association with systemic lupus erythematosus chilblain lupus erythematosus or CHLE.
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