Department of Health and Kinesiology, Bridgewater State University, MA.
Exercise Science, Human Sciences, Southern Illinois University, Carbondale.
J Athl Train. 2024 Jul 1;59(7):779-784. doi: 10.4085/1062-6050-0467.22.
A 35-year-old intramural male athlete presented to the athletic training staff with a 4.5- × 2.2-cm itchy, painful, swollen, and infected insidious skin lesion on his right lateral malleolus due to an underlying dermatologic deficiency. Suspecting infection, the patient was referred to his nurse practitioner and was diagnosed with atopic dermatitis caused by a ceramide deficiency. He was placed on cefalexin and mupirocin 2% ointment but returned due to the lesion increasing to 8.5 × 6 cm, although the infection seemed controlled. He was instructed to use Ceravé topical cream, clobetasol propionate 5%, and to consume foods rich in healthy oils (omega-3 fatty acids, olive oil). Unmitigated, this lesion could have resulted in severe infection and tissue damage. Atopic dermatitis is relatively common in the general population, but its appearance in healthy athletes highlights that athletic trainers need to be well versed in not just apparent causes of skin ailments (ie, infection) but also root causes.
一位 35 岁的男性室内运动员因潜在的皮肤病缺陷，在其右侧外踝出现一个 4.5×2.2 厘米的瘙痒、疼痛、肿胀和感染的隐匿性皮肤病变，来到运动训练人员处就诊。由于怀疑感染，患者被转介给他的护士从业者，被诊断为由于神经酰胺缺乏引起的特应性皮炎。他被开了头孢氨苄和莫匹罗星 2%软膏，但由于病变增加到 8.5×6 厘米，尽管感染似乎得到了控制，他还是返回了。他被指示使用 Cerave 局部乳膏、丙酸氯倍他索 5%，并食用富含健康油脂（欧米伽 3 脂肪酸、橄榄油）的食物。如果不加以控制，这种病变可能会导致严重的感染和组织损伤。特应性皮炎在普通人群中较为常见，但它在健康运动员中的出现表明，运动训练人员不仅需要精通皮肤疾病的明显原因（即感染），还需要了解根本原因。
