Equestrian perniosis

From WikiMD's Medical Encyclopedia


Equestrian perniosis
Synonyms Chilblains, Pernio
Pronounce N/A
Specialty Dermatology
Symptoms Red or purple skin lesions, itching, burning sensation
Complications Infection, ulceration
Onset Cold weather exposure
Duration Several weeks
Types N/A
Causes Cold and damp conditions
Risks Horse riding in cold weather, poor circulation
Diagnosis Clinical diagnosis
Differential diagnosis Frostbite, Raynaud's phenomenon, Erythromelalgia
Prevention Warm clothing, avoiding cold exposure
Treatment Keeping warm, topical corticosteroids, nifedipine
Medication N/A
Prognosis Good with treatment
Frequency Rare
Deaths N/A


Equestrian perniosis is a skin condition that presents on the lateral thighs of equestrians who ride on cold damp days.<ref>Book:Andrews' Diseases of the Skin: Clinical Dermatology edition=12th publisher=Elsevier year=2015 isbn=978-0323319676</ref>

Cause[edit]

Riding a horse on cold damp days

Clinical features[edit]

tender burning nodular plaques on their bilateral thighs after riding in the cold.

Resolution[edit]

These lesions tend to resolve rapidly with minimal exposure to cold, and wearing loose, layered warm clothing.<ref>Stewart CL, Adler DJ, Jacobson A, Brod BA, Shinohara MM, Seykora JT, Elenitsas R, Rosenbach M. Equestrian perniosis: a report of 2 cases and a review of the literature. Am J Dermatopathol. 2013 Apr;35(2):237-40. doi: 10.1097/DAD.0b013e31824c221f. PMID: 22534636.</ref>

Histology[edit]

  • The histology of this disease is similar to perniosis
  • In Equestrian perniosis, perivascular lymphocytic infiltrate prominently involves the fat.

Treatment[edit]

It usually resolves on its own with stopping the activity of riding a horse on cold damp days.

See also[edit]

References[edit]

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