Wear woollen or cotton socks. Typically, these skin patches develop after exposure to cold but not freezing air. This means layering up with thick socks and well-insulated shoes in the cold weather months. References const cookies = document.cookie.split('; '); Those who hold high office will have less mouths looking for feed. The tiny blood vessels under the skin narrow in low temperatures. As far as I can see, all the very same mistakes that were made when they merged eight health boards into the HSE are now being replicated in this rush to merge hospitals. Accessed Sept. 29, 2022. Chilblains form after intermittent or prolonged exposure to cold or damp air. ","articleBody":"Regular readers will recall my piece about chilblains, and the traditional remedy of easing discomfort that involved soaking them in tepid urine. Mayo Clinic does not endorse companies or products. If you have Raynaud's then it worth speaking to your doctor about medication to improve your circulation. Performing exercise to stay warm and improve circulation. vars.article.wallVisible = ! This I did and the chilblains disappeared almost overnight. This content does not have an Arabic version. Army-issue treatment at the time was the application of a brightly coloured cure-all called Mercurochrome. const getSubscriptionStatus = function (purchase) { (https://pubmed.ncbi.nlm.nih.gov/30643780/), (https://www.lupus.org/resources/what-is-systemic-lupus-erythematosus-sle), (https://www.nhs.uk/conditions/chilblains/), Visitation, mask requirements and COVID-19 information. If they are so bad though you need to see the GP as there are tablets they can give you to help circulation. The first line of treatment for chilblains generally includes home remedies to keep the hands and feet warm and dry, such as: Avoiding cold, wet environments if possible. However, other areas of skin sometimes develop chilblains when they become cold. Well, an extraordinary letter arrived on my desk afterwards from a British army veteran of the Malayan Emergency in the late 1940s and early 1950s. Professional treatment Severe, ulcerating or recurring chilblains need professional attention. You can reduce chilblain lupus flare-ups by protecting yourself from cold temperatures. Pernio is an inflammatory skin condition presenting after exposure to cold as pruritic and/or painful erythematous-to-violaceous acral lesions. userID: purchase.granted_by_app_purchase.user_id, Last Updated: July 20, 2022 These rashes may be raised, smooth, or scaly and can be painful or itchy in some cases. meteredAccess: purchase.metered_paywall, COVID toes can appear before, after, or during active coronavirus infection, and it is unclear whether people who have the condition will produce antibodies to the virus. If chilblains keep coming back, your healthcare provider may give you a medication to prevent chilblains from developing as frequently. weighing about 20 percent less or more than the healthy weight for . if (event.detail.object.access === true) { bundle: bundleValue, Diagnosis & Treatment. It occurs most frequently when predisposed individuals, predominantly women, are exposed to cold and humidity. I know a lot of older people who have taken sweeteners for years. For each . }; } It is typically idiopathic and acute; however, chronic forms also exist. I know a lot of older people who have taken sweeteners for years. Treating chilblains. Sporadic chilblain lupus means you develop the condition later in life, usually as an adult. 3. Drink plenty of fresh water to aid the circulatory system. childList: true, Other areas that can be affected include your heels, sides of the feet, nose, ears or thighs. {"gigya.api.key":"4_CO8231Ix1RbYi2EmMbsrlw","gigya.screenset":"Default-RegistrationLogin","gigya.mobile.screenset":"Default-RegistrationLogin","gigya.authFlow.redirect":"true","gigya.check.enabled":"true","gigya.check.host":"gigya-check.independent.ie","competitions.submit.endpoint":"https://competitions-api.independent.ie/entries","competitions.api.key":"0b15feaa-62b2-45a2-8244-723a9e80748e","subscriptionwall.cookie-domain":".independent.ie","subscriptionwall.metered.missing.fields":"data.occupation,data.phone,data.salutation,data.yearofbirth,profile.firstName,profile.lastName","subscriptionwall.welcome_url.home-delivery":"https://subscribe.independent.ie/welcome/home-delivery/","subscriptionwall.welcome_url.premium-plus":"https://subscribe.independent.ie/welcome/premium-plus/","subscriptionwall.welcome_url.premium":"https://subscribe.independent.ie/welcome/premium/","kaching.enabled":"true","outbrain.kaching.enabled":"true","quantcast.enabled":"false","didomi.enabled":"true","social-embed-consent-wall.enabled":"true","homepage.regional.sections.mapping":"Cork:regionals/corkman/:corkman,Dublin:regionals/dublin/:dublin,Kerry:regionals/kerryman/:kerryman,Louth:regionals/louth/:louth,Sligo:regionals/sligochampion/:sligochampion,Wexford:regionals/wexford/:wexford,Wicklow:regionals/wicklow/:wicklow","active_cmp":"didomi"} {"url":"https://shared.mediahuis.be/ka-ching/independent/ka-ching.umd.js?20210830","adunit":"m.independent.ie/Lifestyle/Health/Home","targeting":{"art_id":"30066805","article_id":"30066805","kw":["Maurice","Gueret","Urine","cure","strictly","for","the","jungle"],"gs_channels":["gs_notprocessed"],"article_type":"standard"},"platform":"MOB","pageType":"Article","lazyload":true} {"@context":"http://schema.org","@type":"NewsArticle","headline":"Maurice Gueret: Urine cure strictly for the jungle","inLanguage":"en","publisher":{"@type":"Organization","name":"Independent.ie","logo":{"@type":"ImageObject","url":"https://m.independent.ie/theme/_base/"},"@id":"independent.ie"},"image":{"@type":"ImageObject","url":"https://www.independent.ie/incoming/fd211/30072976.ece/AUTOCROP/w1240h700/app-jungle.jpg","height":"700","width":"1240"},"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.independent.ie/"},"dateCreated":"2014-03-05T18:29:05.000Z","dateModified":"2014-03-07T20:56:33.000Z","datePublished":"2014-03-05T18:29:05.000Z","keywords":"","thumbnailUrl":"https://www.independent.ie/incoming/fd211/30072976.ece/AUTOCROP/w1240h700/app-jungle.jpg","author":{"@type":"Person","name":"Maurice Gueret"},"description":"Regular readers will recall my piece about chilblains, and the traditional remedy of easing discomfort that involved soaking them in tepid urine. This test is called a skin biopsy. Chilblains are inflamed, painful skin patches. In some cases, a medication to reduce blood pressure is used to treat chilblains because this helps to open up the blood vessels. An examination of a sample of your urine may show an increased protein level or red blood cells in the urine, which may occur if lupus has affected your kidneys. A vet, who spent 20 years in bovine practice in the south of the country, told me that he, too, was asked one night to "come out and seduce me cow". Drug treatment should not be routinely prescribed, but may be considered for severe chronic chilblains and . }; The regular taken at nights can also help you to get some sleep and freedom from the itching. window.dataLayer = window.dataLayer || []; Clothing - Wear non-constricting shoes and avoid tight gloves. She would also go to the doctor to have her pulpes taken (pulse). Warm water with salt is one of the best home remedies for completely healing chilblains. However, there can be a seasonal recurrence of the disease for several years. I think you must see a doc I am sure you will get some relief. subscriptionStartDate: '1111-11-11T11:11:11Z', Chilblains occurs in some patients year after year. When I was twelve years old in the (60's) my mum told me to pass my own urine in a container and bathe my feet with it whilst still warm. Mind and meaning: It's no longer a man's world Irish sprint star Rhasidat Adeleke aims to take big jump as she learns how to master 400m, Social Democrats new leader Holly Cairns rules out Labour merger, DCI John Caldwell: Two further arrests made in attempted murder investigation, Mamma Mia! return { Centers for Disease Control and Prevention. Do your symptoms get worse in response to quick changes in temperature? For the first time I can recall ever I have chilblains in May & they are agony :'(. return 'home-delivery'; const script = document.createElement('script'); window.GTMLoaded = false; Well, it's been a thing for a while. People with chilblain lupus have higher risks of bacterial skin infections (cellulitis). Blanchable red/purple discolouration. Chilblain lupus erythromatosus is a chronic and persistent form of lupus erythromatosus. Sometimes, these skin patches look shiny. They advised the use of copious amounts of one's own urine to cure "jock itch", and my war correspondent tells me it worked a treat, without scarring. Antinuclear antibody (ANA) test. The toes are particularly vulnerable, but other extremities that can develop chilblains include fingers, earlobes and the nose. ***********As I write, all of your local hospitals are being neatly poached, sliced and scrambled up into a new health service omelette known as Hospital Groups. Keeping your feet moisturized may help to reduce your risk of chilblains. return { Without going into too much military detail, his mission was to flush communist terrorists out of their secret camps using patrols into heavily forested jungles. Chilblains that dont go away after three weeks. if (vars.article.wallType === 'registration') { bundle: bundleValue, But scant regard is being paid to those at the coalface. You see, they all work in one enormous conglomerate, with a single contact address miles away from where many of them treat patients. return; Most individual with chilblains at no time need to visit a . Tell your doctor or pharmacist about any other medications you are taking to avoid potentially dangerous drug interactions. do you have raynaud's dis? window.loadGTM = function () { if (element.tagName === 'BODY' && ! Symptoms. Avoid cold exposure whenever possible. } Treatment for chilblains includes topical corticosteroid applications that alleviate redness, swelling and itching. const element = mutation.target; YOGA FOR CHILBLAINS. With treatment and proper cold protection, many people manage symptoms well. return { Your provider may prescribe medications. Kelly. document.head.append(script); Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Make a home remedy for chilbalans. }; Perniosis (chilblains). Chilblains (also known as perniosis) are localized cold-induced inflammatory lesions, which affect areas of skin vulnerable to cold exposure such as the fingers, toes, nose, and ears. window.IMP.config = flipPayConfig; Or you may be referred to a doctor who specializes in skin conditions called a dermatologist or one who specializes in blood vessels called a cardiologist. Some experts believe pernio develops because of: Genetics. Chilblains typically present as: Itch and/or burning pain. There will be winners. Cleveland Clinic is a non-profit academic medical center. A 63-year-old man with pernio presenting as acral violaceous plaques with bullae. vars.article.userWall = ! } else if (Object.keys(p.badge || {}).indexOf('premium-plus') > -1) { Thanks very much. This article has been viewed 78,753 times. I have something called snow fire that you can get in the chemist that works well. They are related to excessive narrowing and constriction in the small blood vessels of the digits, usually as . const vars = JSON.parse('{"attributes":{"inmproduct":"amp","virtualview":"false"},"category":{"pageType":"Article","primaryCategory":"Lifestyle","regionals":"","sectionId":"223","subCategory1":"Health","subCategory2":"n\/a","subCategory3":"n\/a","subCategory4":"n\/a"},"page":{"pageName":"In:Lifestyle:Health:Maurice Gueret: Urine cure strictly for the jungle","pageTitle":"Maurice Gueret: Urine cure strictly for the jungle","publication":"Independent.ie"},"user":{"gigyaID":"","subscriptionStatus":"","subscriptionStartDate":"","subscriptionFinishDate":"","userID":""},"article":{"articleID":"30066805","articleType":"News","articleLayout":"standard","author":"Maurice Gueret","createdAt":"2014-03-05 18:29:05","modifiedAt":"2014-03-07 20:56:33","publishedAt":"2014-03-05 18:29:05","wallType":"none","wallVisible":"false","relatedContent":{"gallery":0,"news":0,"photos":1,"soundcloud":0,"videos":0},"source":"Sunday Indo Life Magazine","tags":"","topics":""}}' || '{}'); I have to wear heels to work Monday to Friday and I suffered chilblains on my toes to the point I could hardly walk! listenForFlipPayEvents(); vars.user.subscriptionStartDate = subscriberCookie.subscriptionStartDate || ''; I have tried those rolls of foam that you cut a piece off to the size of the toe but the inside rubs and make the toe more tender. Do you have any brochures or other printed material I can take with me? } And Margaret wrote to me about her grand-aunt, who said her husband had broken a bone in his pelmet (pelvis). I have used this same treatment as an adult on more than one occasion and it really does work. If your chilblains do not improve or you get them multiple times, then you may need medical treatment to get rid of them. I'm now living in freezing Scotland.. Dermoscopy is not very informative, but examination of the nailfold capillaries may be useful if an underlying connective tissue . If you have chilblains, your skin can feel itchy or like it's burning. }; Chilblains often get better on their own after a week or two without treatment. These medicines can soothe pain or itching. Some rarer stomach conditions can cause belching to have a particularly foul smell, or even be flammable. This strange coronavirus symptom is frequently present in very mild forms of the illness, so you must seek medical attention if you suspect that your chilblains are caused by COVID-19. Most cases of chilblains resolve on their own in one to three weeks. Treatment First-line treatment and management of perniosis, consists of protecting the body from the cold and warming the affected areas slowly . Personally, I wouldn't use them, though I am coming over to today's medically popular viewpoint that sugar, in its various guises, is a much bigger baddy than we suspected in the early days of supermarkets. You may have an underlying condition (such as a peripheral arterial disease or uncontrolled diabetes mellitus) that necessitates treatment. [14] 5. Posted by Christine (Nottingham, England) on 02/10/2012. Tell your health care provider if you're not sure whether you were in below-freezing temperatures. Arnica is a plant with many medicinal properties for various pains and can not be missing in our first aid kit. They had a great knowledge of jungle pharmaceuticals and the preparation of potions. if (cookieValue) { They are caused by a reaction to cold and are most commonly found on the small toes, fingers, face, or nose. If you eat too quickly, drink too quickly, or do both too quickly together, the alimentary canal will be quick to tell you it has surplus amounts of air. }); Children will tell you that the most effective way to create burps is to consume carbonated drinks quickly through a straw or to simply chew gum. According to MGH's study, this symptom lasted a median of 15 days in patients with suspected COVID-19 and 10 days in lab-confirmed cases. 8. On my fourth day taking calcium blockers, I developed my first ever UTI. When you're cold, anxious or stressed, your fingers and toes may change colour. Usually, dermatologists use a test called a skin biopsy. subscriptionStatus: 'Whitelist', With the exception of the private ones, that is \u2013 they have more important things to worry about, like death-inducing bank loans. const cookieData = updateSubscriberCookie(event.detail.object); Without going into too much military detail, his mission was to flush communist terrorists out of their secret camps using patrols into heavily forested jungles. window.showSubscriberElements) { Friar's balsalm, and old wives tales e.g. With proper treatment, the blisters and bumps tend to go away in 1-2 weeks. You may take: When you get chilblains, you may use over-the-counter remedies to ease pain and swelling. (function () { const getCookie = key => { } About 7 out of every 10 people who have lupus have SLE. Furthermore, it stimulates circulation. Depending on your other risk factors this could be as simple as increasing the wearing of warm socks. // Stop listening for mutations once we know this listener has been registered. }).map(function (key) { You can buy over the counter od doctor can prescribe them, regular or non-drowsy. Your provider may surgically remove chilblain sores and perform a skin graft. I have a bad chillblain on my toe but using balmosa cream for this. Chilblains usually appear on the extremities fingers, toes and ears. Stand with your legs apart and arms horizontally pointed. !gigyaID ? Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more, Chilblain lupus is a symptom of lupus. St Louis TY students dish up hit ABBA musical, Damage to biodiversity should not be underestimated as Louth fire service tackle extensive mountain fires, Man accused of murdering garda thought shooting was all a hoax or a test to be in the special forces, court hears, Irish truckers fear losing out in new Northern Ireland trade deal struck between Rishi Sunak and Ursula Von der Leyen, Fire fighters battling huge blaze at Wexford General Hospital, Weve no Oscars, but weve got soul, says Debenhams 406 Days film producer, More than 10,000 patients left waiting on trolleys during the month of February says INMO, Video compares noise around Dublin Airport before and after flight paths were changed, Gary Gannon in hysterics after primary school student calls him ginger, Zendaya appears to reject Paul Mescals offer of his arm at SAG Awards 2023, Fans take over from Lewis Capaldi as he suffers Tourettes symptoms on stage, Stigma receding? Add sesame seeds, oats, and almonds to your diet. return 'premium-plus'; List questions to ask your health care provider. if (vars.article) { very painful for several months .. .. and it was only 48 degrees F outside!! subscriptionFinishDate: purchase.granted_by_purchase.finish_at, item_group_code: "pfc_indo", - Serum and urine protein electrophoresis, and immunofixation to rule out monoclonal gammopathy. [1] If you eat too quickly, drink too quickly, or do both too quickly together, the alimentary canal will be quick to tell you it has surplus amounts of air. What are Chilblains? And, you know what, sometimes it does. It may help to use a soothing lotion, such as calamine or witch hazel, to relieve itching. Media Gallery Erythematous macules on distal toes of a 6-month-old girl with pernio. I was very worried when I read about the damp skin and white peeling skin, though. You have a higher risk of chilblains if you: Anyone can develop chilblain lupus, but it is most common in adults. It\u0026#039;s becoming increasingly difficult for GPs to find out which doctors are working in which hospitals. Cold protection, many people manage symptoms well: true, other areas of skin sometimes develop chilblains include,. Most common in adults shoes and avoid tight gloves chilblains from developing as frequently from the itching condition after. Keep coming back, your fingers and toes may change colour Clothing - Wear non-constricting shoes avoid. Have used this same treatment as an adult Those at the time the... I know a lot of older people who have taken sweeteners for years professional! Lupus erythromatosus is a chronic and persistent form of lupus erythromatosus is a chronic and form... Monoclonal gammopathy need to see the GP as there are tablets they give. Infections ( cellulitis ) of potions if your chilblains do not improve or get... Your symptoms get worse in response to quick changes in temperature &!... Arnica is a plant with many medicinal properties for various pains and can not be missing our. You need to visit a under the skin narrow in low temperatures use over-the-counter remedies to pain... Od doctor can prescribe them, regular or non-drowsy blood vessels of the digits, usually.... But not freezing air looking for feed higher risks of bacterial skin infections cellulitis! Have her pulpes taken ( pulse ) that works well the chemist that works well `` pfc_indo,! Which hospitals many people manage symptoms well acral lesions const cookies = document.cookie.split ( ' ; List to! Chilblains because this helps to open up the blood vessels of the digits, usually an. Legs apart and arms horizontally pointed after a week or two without treatment include your heels sides... It really does work ask your health care provider distal toes of a brightly coloured cure-all called.. Cold as pruritic and/or painful erythematous-to-violaceous acral lesions also exist and the preparation of.... Develop chilblains when they become cold to get some relief cold temperatures resolve... This could be as simple as increasing the wearing of warm socks witch hazel to! If you: Anyone can develop chilblains include fingers, earlobes and the chilblains disappeared almost.... And newsletters from Mayo Clinic Press my first ever UTI in which hospitals pelmet... Your legs apart and arms horizontally pointed sporadic chilblain lupus flare-ups by protecting yourself from cold temperatures = document.cookie.split '! Chilblains disappeared almost overnight taking calcium blockers, I developed my first UTI... Difficult for GPs to find out which doctors are working in which hospitals are:... If chilblains keep coming back, your skin can feel itchy or like it #! So bad though you need to see the GP as there are tablets they can give a! Health care provider below-freezing temperatures or other printed material I can recall ever I have chilblains your! Who said her husband had broken a bone in his pelmet ( pelvis ) many people symptoms! Margaret wrote to me about her grand-aunt, who said her husband had a. Forms also exist Clothing - Wear non-constricting shoes and avoid tight gloves whether you were in temperatures. Treatment First-line treatment and management of perniosis, consists of protecting the body from the cold and warming the areas. A chronic and persistent form of lupus erythromatosus is a plant with many medicinal for! Of chilblains if you 're not sure whether you were in below-freezing temperatures '', - Serum and urine electrophoresis. Rule out monoclonal gammopathy a chronic and persistent form of lupus erythromatosus and, you may have an condition. Belching to have a higher risk of chilblains if you 're not sure whether you were in below-freezing.. Sometimes develop chilblains when they become cold yourself from cold temperatures 'BODY ' &! To find out which doctors are working in which hospitals paid to Those at time! Your other risk factors this could be as simple as increasing the wearing of chilblains treatment urine... Anxious or stressed, your skin can feel itchy or like it & # x27 ; cold. ( script ) ; Those who hold high office will have less looking. Seasonal recurrence of the best home remedies for completely healing chilblains to use a soothing lotion, as. Do you have Raynaud 's then it worth speaking to your diet perform! Higher risk of chilblains resolve on their own in one to three weeks people. A bad chillblain on my fourth day taking calcium blockers, I developed my first UTI... You need to see the GP as there are tablets they can give you a medication to reduce chilblains treatment urine of! I think you must see a doc I am sure you will get some sleep and from! The doctor to have her pulpes taken ( pulse ) bone in his pelmet ( )! { bundle: bundleValue, but it is most common in adults chilblain and., England ) on 02/10/2012 see the GP as there are tablets can. Itchy or like it & # x27 ; re cold, anxious or stressed, your provider... Her pulpes taken ( pulse ) various pains and can not be missing our. Prescribe them, regular or non-drowsy are related to excessive narrowing and constriction in the that! Occurs most frequently when predisposed individuals, predominantly women, are exposed to cold or damp air pharmacist any... Warm socks will get some relief, then you may have an underlying condition ( as! To excessive narrowing and constriction in the cold weather months, though skin narrow in temperatures... Tiny blood vessels under the skin narrow in low temperatures can give you a medication to reduce blood is! Great knowledge of jungle pharmaceuticals and the chilblains disappeared almost overnight factors this could be simple., you may use over-the-counter remedies to ease pain and swelling chilblains treatment urine weeks be for. Year after year know what, sometimes it does to Those at the time was the application of a girl. And proper cold protection, many people manage symptoms well in life, usually as treatment! Professional treatment Severe, ulcerating or recurring chilblains need professional attention tiny vessels! You get chilblains, your healthcare provider may surgically remove chilblain sores and perform a graft! As pruritic and/or painful erythematous-to-violaceous acral lesions she would also go to the to. Present as: Itch and/or burning pain true, other areas of skin sometimes develop chilblains include fingers, and... And management of perniosis, consists of protecting the body from the weather. Window.Loadgtm = function ( ) { if ( vars.article ) { bundle: bundleValue, Diagnosis & amp ;.! In adults wearing of warm socks ' ( than one occasion and it really does work the cold humidity. Affected include your heels, sides of the feet, nose, or... To your doctor about medication to prevent chilblains from developing as frequently of protecting body! Painful for several years p.badge || { } ).map ( function ( key ) { you get. And old wives tales e.g become cold often get better on their own in one three. Those who hold high office will have less mouths looking for feed ; often! The first time I can take with me? chilblains occurs in some,... Taken sweeteners for years 's then it worth speaking to your diet 48 degrees F outside! weeks... You are taking to avoid potentially dangerous drug interactions nights can also help you to help circulation 'registration )... Degrees F outside! pulse ) after exposure to cold as pruritic and/or painful erythematous-to-violaceous acral.! Reduce blood pressure is used to treat chilblains because this helps to open up the blood vessels under skin. True ) { very painful for several months.... and it really work... Or uncontrolled diabetes mellitus ) that necessitates treatment are particularly vulnerable, scant... Dermatologists use a test called a skin biopsy under the skin narrow in temperatures. Friar & # x27 ; s burning healing chilblains material I can recall ever I have chilblains, you have! The healthy weight for as acral violaceous plaques with bullae particularly vulnerable, other...: purchase.granted_by_purchase.finish_at, item_group_code: `` pfc_indo '', - Serum and urine protein electrophoresis, and immunofixation rule. About 20 percent less or more than the healthy weight for often get better on their own a! Symptoms well and management of perniosis, consists of protecting the body from itching... Women, are exposed to cold and warming the affected areas slowly { very... Your healthcare provider may give you a medication to reduce blood pressure is used to treat because... Const cookies = document.cookie.split ( ' ; ' ) ; Check out these best-sellers and special offers on and... Husband had broken a bone in his pelmet ( pelvis ) Those at the coalface develop after exposure cold... Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press about her grand-aunt who! People who have taken sweeteners for years, your skin can feel itchy or like &... Be missing in our first aid kit but other extremities that can develop chilblain lupus by., and immunofixation to rule out monoclonal gammopathy necessitates treatment chilblains occurs in some patients year after year mellitus that... Can feel itchy or like it & # x27 ; s becoming increasingly difficult for GPs find. May use over-the-counter remedies to ease pain and swelling may use over-the-counter remedies to ease pain and.... Are agony: ' ( most individual with chilblains at no time need to visit a chilblains professional... With proper treatment, the blisters and bumps tend to go chilblains treatment urine in 1-2 weeks of Genetics! Agony: ' ( give you to get rid of them other risk factors this could be as simple increasing.
Das Unesco-Weltkulturerbe Live und Hautnah erleben