Management of chilblains is supportive. The affected skin should be rewarmed, gently bandaged, and elevated. Some European studies support the use of nifedipine

(Procardia), at a dose of 20 mg tid, as both prophylactic and therapeutic. Topical corticosteroids (.025% fluocinolone cream) or even a brief burst of oral corticosteroids, such as prednisone, have been shown to be useful. Affected areas are more prone to reinjury.

Effective prophylaxis for trench foot includes keeping warm, ensuring good boot fit, changing out of wet socks several times a day, never sleeping in wet socks and boots, and, once early symptoms are identified, maximizing efforts to warm, dry, and elevate the feet. Once injury has occurred, treatment is supportive. Currently there is no specific therapy. Feet should be kept clean, warm, dryly bandaged, and elevated. Signs of early infection should be monitored. 12. and 3

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