Skip to main content

Dermatological Injuries

  • Chapter
  • First Online:
Book cover The Sports Medicine Physician

Abstract

Cutaneous lesions induced by sports are not life-threatening but may have a significant impact on athletic performance and, therefore, need particular attention. Sports practice can be associated with acute or chronic traumatic lesions (blisters, friction dermatitis, callosities, corns, knuckle pads, piezogenic papules) and cutaneous haemorrhage (ball site sign, black heel, subungueal haematoma) often affecting the nails, particularly of the hallux (onychocryptosis, retronychia, nail dystrophy). Athletes are also more prone to environmental aggressions (cold-induced chilblains, urticaria or panniculitis, heat-induced urticaria or erythema ab igne, UV-induced sunburn or photosensitivity), skin infections (tinea gladiatorum, tinea pedis or onychomycosis, bacterial folliculitis, plantar warts, molluscum contagiosum and herpes gladiatorum), allergic contact or photocontact dermatitis due to sports equipment (rubber allergens, footwear, nickel, acetophenone azine from shin guards, etc.) and topical products used to protect or treat skin/muscle-skeletal problems (ketoprofen, UV filters). Moreover, long-term outdoor sports with high sun exposure are associated with an increased risk of skin cancer.

Cutaneous lesions induced by sports activities may be mistaken for other cutaneous diseases (black heel, subungueal haematoma), and it is important for the dermatologist to inquire about such practices. The dermatologist may have an important intervention in the prevention, early recognition and therapy of cutaneous diseases induced by sports activities and, therefore, improve athletics performance and allow individuals to enjoy sports without skin lesions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Herzog MM, Fraser MA, Register-Mihalik JK, Kerr ZY. Epidemiology of skin infections in men’s wrestling: analysis of 2009–2010 through 2013–2014 National Collegiate Athletic Association Surveillance Data. J Athl Train. 2017;52(5):457–63.. http://natajournals.org/doi/10.4085/1062-6050-52.2.16

    Article  PubMed  PubMed Central  Google Scholar 

  2. Cohen P. The ball SITE sign: ball sports-induced targetoid erythema in a racquetball player. Dermatol Pract Concept. 2015;5(3):47–52.

    PubMed  PubMed Central  Google Scholar 

  3. McClanahan C, Wanat K. Tinea corporis in a wrestling team cheerleader. Int J Women’s Dermatol. 2016;2(4):143–4.

    Article  CAS  Google Scholar 

  4. Kent JB, Statuta SM, Greer KE, MacKnight JM. Watersport hands. Sports Health. 2014;6(4):360–2.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Emer JJ, Sivek R, Marciniak B. Sports dermatology: part 1 of 2 traumatic or mechanical injuries, inflammatory conditions, and exacerbations of pre-existing conditions. J Clin Aesthet Dermatol. 2015;8(4):31–43.

    PubMed  PubMed Central  Google Scholar 

  6. Kluger N, Francès P. Mamelon du jogger. Presse Med. 2013;42(6):1066–7.

    Article  PubMed  Google Scholar 

  7. Cohen P. Pool toes: a sports-related dermatosis of swimmers. Int J Dermatol. 2005;44:794–5.

    Article  PubMed  Google Scholar 

  8. Veien N. Clinical features In: Johansen J, Frosch P, Leppoittevin J-P, editors. Contact Dermatitis. 5th ed. Berlin: Springer; 2011. p. 255–303.

    Google Scholar 

  9. Kockentiet B, Adams BB. Contact dermatitis in athletes. J Am Acad Dermatol. 2007;56(6):1048–55.

    Article  PubMed  Google Scholar 

  10. Inui S, Itami S. 2 Cases of sumo wrestlers’ friction dermatitis. Contact Dermatitis. 2008;58(6):374–5.

    Article  PubMed  Google Scholar 

  11. Farhadian JA, Tlougan BE, Adams BB, Leventhal JS, Sanchez MR. Skin conditions of baseball, cricket, and softball players. Sports Med. 2013;43(7):575–89.

    Article  PubMed  Google Scholar 

  12. Tlougan B, Mancini A, Mandell J, Cohen D, Sanchez M. Skin conditions in figure skaters, ice-hockey players and speed skaters: part I - mechanical dermatoses. Sport Med. 2011;41(9):709–19.

    Article  Google Scholar 

  13. Simonart T. Acne and whey protein supplementation among bodybuilders. Dermatology. 2012;225(3):256–8.

    Article  CAS  PubMed  Google Scholar 

  14. Tammaro A, Magri F, Moliterni E, Parisella F, Mondello M, Persechino S. An uncommon localization of black heels in a free climbing instructor. Int Wound J. 2018;15(2):313–5.

    Article  PubMed  Google Scholar 

  15. Rubegni P, Feci L, Fimiani M. Talon Noir: utility of dermoscopy for differential diagnosis with respect to other acral skin growths. G Ital Dermatol Venerol. 2012;147(1):133–4.

    CAS  Google Scholar 

  16. Descamps V, Claessens YE, Doumenc B. Skin manifestations in ultramarathon runners: experience in the Marathon des Sables 2014. Br J Dermatol. 2017;177(2):562–3.

    Article  CAS  PubMed  Google Scholar 

  17. Campos M, Santos A. Retronychia: clinical diagnosis and surgical treatment. BMJ Case Rep. 2017;2(2017):bcr2016218758.

    Article  Google Scholar 

  18. Rocha Bde O, Fernandes JD, Prates FV de O. Piezogenic pedal papules. An Bras Dermatol. 2015;90(6):928–9.

    Article  PubMed  Google Scholar 

  19. Turkmani MG. Piezogenic pedal papules treated successfully with deoxycholic acid injection. JAAD Case Rep. 2018;4(6):582–3.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Kluger N, Marty L, Bourseau-Quetier C, Blum M, Camus M. Perniosis/cold panniculitis in French equestrians: four cases. Int J Dermatol. 2016;55(12):e618–20.

    Article  PubMed  Google Scholar 

  21. Tlougan B, Mancini A, Mandell J, Cohen D, Sanchez M. kin conditions in figure skaters, ice-hockey players and speed skaters: part II - cold-induced, infectious and inflammatory dermatoses. Sports Med. 2011;41(11):967–84.

    Article  PubMed  Google Scholar 

  22. Gonçalo M, Giménez-Arnau AM. Drug photosensitivity. In: Katsambas A, Lotti T, Dessinioti C, D’Erme A, editors. European handbook of dermatological treatments. 3rd ed. Berlin: Springer; 2015. p. 233–51.

    Chapter  Google Scholar 

  23. Gonçalo M, Ruas E, Figueiredo A, Gonçalo S. Contact and photocontact sensitivity to sunscreens. Contact Dermatitis. 1995;33(4):278–80.

    Article  PubMed  Google Scholar 

  24. Kerr AC, Ferguson J, Ibbotson SH, Dawe RS, Haylett AK, Rhodes LE, et al. A European multicentre photopatch test study. Br J Dermatol. 2012;166(5):1002–9.

    Article  CAS  Google Scholar 

  25. Christoph S, Cazzaniga S, Hunger RE, Naldi L, Borradori L, Oberholzer PA. Ultraviolet radiation protection and skin cancer awareness in recreational athletes: a survey among participants in a running event. Swiss Med Wkly. 2016;146(March):w14297.

    PubMed  Google Scholar 

  26. Ally M, Swetter S, Hirotsu K, Gordon J, Kim D, Wysong A, et al. Promoting sunscreen use and sun-protective practices in NCAA athletes: impact of SUNSPORT educational intervention for student-athletes, athletic trainers, and coaches. J Am Acad Dermatol. 2018;78(2):289–92.

    Article  PubMed  Google Scholar 

  27. Sakata Y, Ushigami T, Anzawa K, Mochizuki T. Molecular epidemiology of Trichophyton tonsurans, the causative dermatophyte of the epidemic of tinea gladiatorum in Japan between 2011 and 2015. Jpn J Infect Dis. 2018;71:140–4. https://www.jstage.jst.go.jp/article/yoken/advpub/0/advpub_JJID.2017.449/_article.

  28. Buzzacott P, Dolen WK, Chimiak J. Case report: acute facial swelling in a recreational technical diver. Physiol Rep. 2017;5(7):5–8.

    Article  Google Scholar 

  29. Marzario B, Burrows D, Skotnicki S. Contact dermatitis to personal sporting equipment in youth. J Cutan Med Surg. 2016;20(4):323–6.

    Article  PubMed  Google Scholar 

  30. Ozkaya E, Elinç-Aslan M. Black rubber sensitization by bicycle handgrips in a child with palmar hyperhidrosis. Dermatitis. 2011;22(4):E10–1.

    Article  PubMed  Google Scholar 

  31. Seyfarth F, Krautheim A, Schliemann S, Elsner P. Sensitization to para-amino compounds in swim fins in a 10-year-old boy. J Dtsch Dermatol Ges. 2009;7(9):770–2.

    PubMed  Google Scholar 

  32. Sakuragi Y, Sawada Y, Nakamura M. Leukoderma following allergic contact dermatitis caused by the silicone component silprene-30A/B in swimming goggles. Contact Dermatitis. 2017;77(6):418–9.

    Article  PubMed  Google Scholar 

  33. Raison-Peyron N, Bergendorff O, Bourrain JL, Bruze M. Acetophenone azine: a new allergen responsible for severe contact dermatitis from shin pads. Contact Dermatitis. 2016;75(2):106–10.

    Article  CAS  PubMed  Google Scholar 

  34. Raison-Peyron N, Bergendorff O, Du-Thanh A, Bourrain J, Bruze M. Two new cases of severe allergic contact dermatitis caused by acetophenone azine. Contact Dermatitis. 2017;76(6):380–1.

    Article  PubMed  Google Scholar 

  35. Gonçalo S, Gonçalo M, Matos J, Marçues C. Contact dermatitis from a billiard cue. Contact Dermatitis. 1992;26(4):263.

    Article  PubMed  Google Scholar 

  36. Gumulka M, Matura M, Lidén C, Kettelarij JAB, Julander A. Nickel exposure when working out in the gym. Acta Derm Venereol. 2015;95(2):247–9.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Margarida Gonçalo .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 ISAKOS

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gonçalo, M., Santiago, L. (2019). Dermatological Injuries. In: Rocha Piedade, S., Imhoff, A., Clatworthy, M., Cohen, M., Espregueira-Mendes, J. (eds) The Sports Medicine Physician. Springer, Cham. https://doi.org/10.1007/978-3-030-10433-7_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-10433-7_33

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10432-0

  • Online ISBN: 978-3-030-10433-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics