Clinical analysis of non-freezing cold injury in 7 adolescents
10.3760/cma.j.cn101070-20240409-00220
- VernacularTitle:青少年非冻结性冷伤7例临床分析
- Author:
Jing GAO
1
;
Pan QIN
1
;
Da ZHANG
1
;
Lin YANG
1
Author Information
1. 郑州大学第一附属医院小儿外科，郑州 450001
- Publication Type:Journal Article
- Keywords:
Pain;
Adolescent;
Non-freezing cold injury;
Hormone;
Cold
- From:
Chinese Journal of Applied Clinical Pediatrics
2025;40(3):217-219
- CountryChina
- Language:Chinese
-
Abstract:
To summarize experience in the diagnosis and treatment of adolescent non-freezing cold injury (NFCI).Methods:Retrospective case summary.The clinical data of 7 children with NFCI treated at the First Affiliated Hospital of Zhengzhou University from December 2023 to January 2024 were reviewed.Results:Among the 7 children, including 2 boys and 5 girls, the main clinical manifestations were persistent pain with stiffness in feet, involving metatarsophalangeal joint, interphalangeal joint, and plantar surface, with toe pain the severest, and the pain worsened at night.All 7 children had magnetic resonance imaging of the foot, and among them, 4 cases showed multiple patchy fat-suppressed high signals on talus, medial tarsal bone, metatarsal bone, and phalangeal bone, suggesting ischemia, and 3 cases showed long T1 long T2 fluid signals on ankle joint cavity, some tarsal joint space, and metatarsophalangeal joint space, suggesting bone marrow edema with joint effusion.Four children received intravenous infusion of 10 mg Hydroprednisone injection once a day for 5 consecutive days, with loss of pain and complete resolution of stiffness.Conclusions:NFCI is a rare cold injury but not frostbite disease.Pathogenic conditions and clinical manifestations are the main basis for its diagnosis, and low-dose hydroprednisone is effective for the treatment of this disease.
