His symptoms resolved completely in few days. He was started on tab ecosprin 75 mg and tab nifedipine 20 mg. He was managed with local hot fomentation and application of glycerine and lignocaine jelly. On investigation, his Hb is 19.3 g/dl, TLC 10,700/mm 3, DLC P 78L16M02E04, platelets 161x10^3, INR 1.1, urea 28 mg/dl, S.Creat 1.1 mg/dl, SGOT/SGPT 46/52 IU/L, viral markers negative, urine RE/ME NAD and VDRL negative, and rapid antigen test (COVID-19) negative. The examination of the hands and feet were normal. The scrotal skin was normal, and there was no inguinal lymphadenopathy. There was no local rise of temperature, no blistering of the penile skin, no lesion on glans with retractable prepuce, and a normal urethral meatus. On local examination, the entire penis was erythematous with subcutaneous edema. There had been no history of swelling in the joints and skin lesions over other body parts, and the family history for such illness was negative. He denied history of trauma, insect bite, vigorous masturbation, or sexual intercourse. He gave history of exposure to extreme cold climate, ambient temperature being -7 to 13 ☌ at an altitude of about 17,000 feet above mean sea level, where he had been for over a period of 2 months. People living in cold mountainous region should frequently change the clothes to keep the local area dry to avoid being victim of such cold related injuries.Ī 27-year-old local resident presented to a hospital in high altitude with complaints of burning pain and swelling of the penis for 5 days. Idiopathic penile chill blain is an extremely rare condition. The patient responded to the conservative management for chill blains. There was no inguinal lymphadenopathy and the scrotal skin was normal. The examination revealed erythematous penile shaft with subcutaneous edema. There was no history of trauma, ulcer over the penis, no blister, no discharge, or fever, with no history of cold related injuries in past. A 27-year-old male patient reported of pain and swelling of penile shaft following exposure to extreme cold climate in the month of September at high altitude. This case report is of a young male presenting as chill blain over the penile region. There are reports of occurrence of chill blains in unusual area which are covered. It rarely occurs in the covered body parts. It usually affects the tip of the upper limb, lower limb, tip of the nose or the ear lobules. Chill blains or perniosis occurs in exposed body parts in extreme cold climate.
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