Myers Thomas M, Bigler Carl J, Maurer Matthew B, Gaither Marlene E, Taylor Walter M
Grand Canyon National Park, Branch of Emergency Services, Grand Canyon, Arizona.
Northern Arizona Dermatology, Flagstaff, Arizona.
Wilderness Environ Med. 2020 Mar;31(1):82-86. doi: 10.1016/j.wem.2019.09.003. Epub 2020 Jan 31.
Treating skin disorders in wilderness settings is often challenging. In this report we describe common skin conditions affecting the feet of river runners on the Colorado River in Grand Canyon National Park. These conditions are frequently referred to by river runners with a catchall term, "tolio." Several skin disorders have been identified as components of tolio, with the most prevalent currently being pitted keratolysis. We present a case of pitted keratolysis in a river guide occurring during a multiday river trip, where treatment can be difficult. Prevention is often more important.
在野外环境中治疗皮肤疾病通常具有挑战性。在本报告中，我们描述了影响大峡谷国家公园科罗拉多河上的漂流者脚部的常见皮肤状况。这些状况常被漂流者用一个统称“托利奥”来指代。已确定几种皮肤疾病是托利奥的组成部分，目前最常见的是窝状角质松解症。我们呈现了一例在多日漂流旅行期间发生在一名河流向导身上的窝状角质松解症病例，在此情况下治疗可能会很困难。预防往往更为重要。
