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. 2021 Sep 14;18(18):9655. doi: 10.3390/ijerph18189655

Table 2.

Studies reporting frostbite long-term sequelae.

Article Population and Follow Up Timing Frostbite Grade/Degree Long-Term Sequelae
Norheim et al., 2018 [15] Self-reported data of 397 Norwegian soldiers in 2017 having suffered frostbite from 2010–2014 1–2 70 % with long-term sequelae
21% unable to work and undertake usual leisure activities
Carlsson et al., 2014 [16] Self-reported data of 12 patients; 4 patients with hand frostbite, 6 patients with feet frostbite, and 2 patients with hand and feet frostbite; hand frostbite was followed-up after 4 month and 4 years, foot frostbite only after 4 years 1–2 4 months after frostbite of the hands (n = 6):
100% with discomfort when exposed to cold
67% with cold sensation
67% with white fingers/toes

4 years after frostbite of the hands (n = 6):
100% with discomfort when exposed to cold
83% with cold sensation
17% with white fingers/toes

4 years after frostbite of the feet (n = 8):
89% with discomfort when exposed to cold
100% with cold sensation
100% with white fingers/toes
Koljonen et al., 2004 [17] Self-reported data form 14 patients with frostbite during the previous 7 years Not specified 15% with daily, intolerable pain
50% chronic pain
50% with limitations in their social life
36% with poor emotional well being
Ervasti et al., 2000 [18] Clinical examination of 30 patients with frostbite 4–11 years earlier 2 63% with sequelae of any kind
66% with increased tendency for vasospasm
53% with hypersensitivity to cold
40% with numbness of fingers
33% with declined sensitivity to touch
13% with lowered working ability
Arvesen et al., 1996 * [19] Clinical examination of 40 Norwegian soldiers with frostbite in the previous 21–78 months; 16 with involvement of the hands and 24 with involvement of the feet 1–3 38% with disturbed sense of cold
38% with disturbed sense of heat
33% skin and nail dystrophia
20% with hyperhidrosis
18% with reduced light-touch perception
18% with reduced pain perceptions
10% with reduced blunt-touch perception
8% with pain on deep pressure5% with paraesthesia
3% with reduced muscle power
Rosen et al., 1991 * [20] Self-reported data of 40 Norwegian soldiers with frostbite at least 2 years prior; 18 with involvement of the hands and 28 with involvement of the feet 1–3 Hands:
100% with cold hypersensitivity
50% with paraesthesia
61% with hypaesthesia
56% skin and nail dystrophia
44% with pain
6% with hyperaesthesia
6% with hyperhidrosis
6% with arthralgia

Feet:
93% with cold hypersensitivity
64% skin and nail dystrophia
54% with pain
46% with paraesthesia
54% with hypaesthesia
14% with hyperhidrosis
11% with hyperaesthesia
7% pain when walking
4% with arthralgia
Taylor et al., 1989 [21] 40 US soldiers examined 6 months after frostbite 1–4 65% with neurovascular sequelae (cold sensitivity, paraesthesia, pain, and hyperaesthesia)
8% had to be reassigned to new functions due to symptom severity
Blair et al., 1957 [22] Self-reported data of 97 US soldiers with frostbite in previous 4 years; 50 were examined clinically 2–4 Self-reported sequelae in winter
71% with numbness
70% with pain
69% with cold feet
58% with abnormal colour
53% with hyperhidrosis
40% with pathology in joints

Self-reported sequelae in summer
31% with numbness
45% with pain
24% with cold feet
31% with abnormal colour
78% with hyperhidrosis
25% with pathology in joints

Sequelae detected on physical examination
58% with abnormal nails
48% with abnormal colour
42% with hyperhidrosis
28% with joint stiffness

* Studies about the same subjects.