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Golfer's vasculitis.

Robert I Kelly1, Jacinta Opie, Rosemary Nixon

  • 1Department of Dermatology, St Vincent's Hospital, Melbourne, Victoria, Australia. robkelly@netspace.net.au

The Australasian Journal of Dermatology
|January 27, 2005
PubMed
Summary
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Golfer's vasculitis is a common skin condition triggered by prolonged exercise in hot weather, often mistaken for allergies. This condition, characterized by a rash on the legs, typically affects individuals over 50.

Area of Science:

  • Dermatology
  • Exercise Physiology

Background:

  • A recurring erythematous, purpuric rash on the legs is often reported by individuals after prolonged exercise, such as playing golf or hiking.
  • Patients frequently misdiagnose this condition as an allergic reaction, leading to unnecessary allergy testing.

Observation:

  • Seventeen cases were collected from dermatologists in Victoria, Australia, with 15 cases linked to playing golf and three to hiking.
  • The rash typically appears during summer months under hot conditions and affects individuals over 50 years of age.

Findings:

  • Histological examination of the rash revealed leukocytoclastic vasculitis.
  • Allergy testing and investigations for underlying causes of vasculitis yielded negative or unremarkable results.

Implications:

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  • The findings suggest golfer's vasculitis is a distinct clinical entity caused by prolonged exercise in hot conditions.
  • Extensive investigations like blood tests or allergy testing are deemed inappropriate for this condition.
  • The proposed term 'golfer's vasculitis' aims to increase recognition of this common, yet poorly documented, exercise-induced vasculitis.