Second-degree superficial frostbite

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Superficial second-degree frostbite is that which extends through the full thickness of the skin.

Frostbite occurs when the skin and body tissue are exposed to cold temperature for a prolonged period of time.

They cause redness, fluid accumulation and significant swelling of the area, bulging in the form of a small pouch filled with clear fluid and blisters that flake off and form a blackish crust with loss of sensation. They are very painful since the nerve endings are yet to be affected.

A detailed clinical history and complete physical examination are required to reach a diagnosis.

Superficial frostbite is treated on an outpatient basis and the common treatment for any degree of frostbite is aimed primarily at avoiding aggravation of the clinical picture and at restoring blood circulation to the affected area.

Bibliographic references
  1. Ken Zafren, Crawford Mechem. Frostbite. UpToDate. Apr 20, 2015.
  2. Long WB 3rd, Edlich RF, Winters KL, Britt LD. Cold injuries. J Long Term Eff Med Implants 2005; 15:67.
  3. Petrone P, Kuncir EJ, Asensio JA. Surgical management and strategies in the treatment of hypothermia and cold injury. Emerg Med Clin North Am 2003; 21:1165.
  4. Kroeger K, Janssen S, Niebel W. Frostbite in a mountaineer. Vasa 2004; 33:173.
  5. Bhatnagar A, Sarker BB, Sawroop K, et al. Diagnosis, characterisation and evaluation of treatment response of frostbite using pertechnetate scintigraphy: a prospective study. Eur J Nucl Med Mol Imaging 2002; 29:170.
  6. R. Battestini Pons. Enfermedades por agentes físicos. Farreras Rozman. Medicina Interna. Volumen 2. 12º edición. 2577:2578
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Hypothermia


    Nail takes more than 2 seconds to regain color after pressing on it


    Paleness


    Blisters develop into eschars


    Blisters larger than 0.5 cm / 0.2 inches

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Increase in pain and swelling of the affected area
Loss of coordination
Intense shivering
White or bluish-gray skin in the area
Talk incoherently, about things that don't make sense

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Remove wet or damp clothing.
Protect affected area from cold, wind and moisture.
Apply heat to the affected area.
Avoid bursting blisters that form.