Pecci Matthew, Comeau Douglas, Chawla Veena
Boston Medical Center, Boston University, 1 Boston Medical Center Place, Family Medicine, Dowling 5, Boston, MA 02118, USA.
Am J Sports Med. 2009 Feb;37(2):406-18. doi: 10.1177/0363546508325663. Epub 2008 Nov 6.
Dermatologic conditions are a common presenting complaint in the athletic training room. There are many different causes for rashes, and treatment options vary depending on the condition and the severity. Bacterial infections of the skin have a variety of different appearances and can spread rapidly among individuals. Healthcare providers need to be aware of the increasing prevalence of methicillin-resistant Staphylococcus aureus when making the choice of antibiotics. Other infectious rashes, including tinea and herpes, are well-described conditions in wrestlers; however, these rashes can be seen in any athlete, especially those engaged in contact sports. Early recognition and appropriate treatment are important to clear the rash and reduce the spread to others. In addition to infectious rashes, athletes are prone to mechanical rashes and skin conditions due to friction and tight-fitting equipment. Sports medicine providers must not only diagnose and treat these conditions but also be aware of the return-to-play guidelines set forth by the governing bodies under which he or she operates.
皮肤问题是运动训练室中常见的就诊主诉。皮疹有许多不同的成因,治疗方案因病情和严重程度而异。皮肤细菌感染有多种不同表现,且可在个体间迅速传播。医疗服务提供者在选择抗生素时需要意识到耐甲氧西林金黄色葡萄球菌的患病率不断上升。其他感染性皮疹,包括癣和疱疹,在摔跤运动员中是有详细描述的病症;然而,这些皮疹在任何运动员身上都可能出现,尤其是从事接触性运动的运动员。早期识别和适当治疗对于消除皮疹以及减少向他人传播至关重要。除了感染性皮疹外,运动员还容易因摩擦和紧身装备而出现机械性皮疹和皮肤问题。运动医学提供者不仅必须诊断和治疗这些病症,还必须了解其所在的管理机构制定的重返比赛指南。