Hi,I am asking for a second opinion from a dermatologist.About 4 weeks ago I was outside in cold weather. It was about -20 degrees C (-4 F) cold, but very dry air and no wind. Went back inside after about 40 minutes.My thighs where red all over, and perhaps swollen, like a sunburn. After a while the skin started to feel like pins and needles. The day after I only had a few patches of red skin left but I had a burning sensation. I was outside the evening before without any symptoms, also for about 40 minutes, and my face did not react to the cold weather. I was warmly dressed, but did not wear long-johns.Today, I still get sensations, which vary over time, with burning, prickling mostly on my thighs, especially on the inside. Almost nothing on my lower legs. The skin is soft and not numb and I don't think it is dry.I have read about other people had similar symptoms, but they disappeared after maybe a few hours, not weeks. I am worried it is related to Vasculitis and maybe peripheral neuropathy
.What I want to understand is if my sensations are due to actual nerve damage or if the nerves respond to damages from e.g. the skin or blood vessels. Again, my skin looks fairly normal, although it can get a bit reddish if I apply moisturisers on it. Also from time to time Livedo Regularis can be seen, but not very intense. Livedo regularis is mostly visible where I have the symptoms, on the front of and inside of the thighs. But this is perhaps just a coincidence.The biggest problem is that my skin, or nerves, are very sensitive to textiles, like jeans, then it feels like I am wearing wool against the skin. Very uncomfortable! Otherwise the skin does not itch. I discussed this with a pharmacist, who experienced something similar but in the face. She had burning sensations and pins and needles for about 2 weeks after which it disappeared. Not sure it is related to what I have.I am now on anti depressive medicin to deal with anxiety and maybe to decrease the sensation. The medicin is called Amitriptylin. I have asked this question elsewhere, but I want a second opinion.So why did I get red, maybe swollen thighs, and still, today, burning and hypersensitive skin? And is it permanent, or will it disappear?