Thanks for the query.
Perniosis is a marker of SLE or RA.
even heavy smoking
can cause perniosis.Nicotine
in smoke can cause damage to vessels.
I would advice you to get ANA profile done
If possible please reduce smoking.
Please meet a dermatologist
and discuss regarding this.
Let me know if you have any other doubt.
you can ask a direct question to me on this forum, following the below link.
Wishing you a good health.