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Milkers' chilblains

M B Duffill1

  • 1Waikato Hospital, Hamilton.

The New Zealand Medical Journal
|March 24, 1993
PubMed
Summary

Chilblains in milkers can be disabling, often misdiagnosed, and may require time off work. Preventive measures offer some help, but nifedipine is suggested for prophylaxis.

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Area of Science:

  • Dermatology
  • Occupational Health

Background:

  • Chilblains of the hands are a recurring issue for milkers.
  • The condition can be disabling and difficult to diagnose.

Purpose of the Study:

  • To describe clinical features, causes, and management of chilblains in New Zealand milkers.
  • To evaluate preventive strategies for this occupational skin condition.

Main Methods:

  • Retrospective review of case notes for milkers with chilblains over a 10-year period.
  • Follow-up interviews conducted with affected patients.

Main Results:

  • Eleven milkers presented with severe, seasonally recurring chilblains.
  • Sunlight aggravated lesions; treatment often required time off work.
  • Three patients ceased dairying due to the condition; some experienced scarring.

Conclusions:

  • Milkers' chilblains are uncommon but can cause significant morbidity and are sometimes misdiagnosed.
  • Preventive measures are limited by practicalities like glove use during milking.
  • The vasodilator nifedipine is proposed as a potential prophylactic treatment.

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