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- Title
A Recalcitrant Skin Lesion and Subsequent Infection in a Recreational Intramural Male Athlete: A Case Report.
- Authors
Leone, James E.; Gray, Kimberly A.
- Abstract
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.
- Subjects
SKIN disease diagnosis; DIAGNOSIS of deficiency diseases; COMMUNICABLE disease diagnosis; ATOPIC dermatitis; ANKLE; COMMUNICABLE diseases; CEPHRADINE; PHYSICAL diagnosis; CUTANEOUS therapeutics; SKIN diseases; RECREATION; DIFFERENTIAL diagnosis; OINTMENTS; ITCHING; CERAMIDES; MUPIROCIN; DEFICIENCY diseases; PAIN; MOLECULAR structure; INFLAMMATION; CHRONIC wounds &; injuries; MIXED infections; DISEASE complications; SYMPTOMS
- Publication
Journal of Athletic Training (Allen Press), 2024, Vol 59, Issue 7, p779
- ISSN
1062-6050
- Publication type
Article
- DOI
10.4085/1062-6050-0467.22