Common skin conditions in wrestling

1. Common skin conditions in wrestling Ringworm Impetigo Mulluscum Contagiosum Herpes Gladiatorum

2. Skin Conditions • The skin conditions that follow are samples of those which you may see during the season. Any skin condition which has the potential of being transmitted to an opponent should be under the care of a physician before returning to practice or competition.

3. Ringworm (tinea corporis) • Ringworm- • Raised circular patches at edges • Central portion is usually flat • Not from the mat surface • Skin to skin contact with infected individuals

4. RingwormCare • Oral/topical treatment for 7days for skin lesions before wrestling • Covered with bioclusive plus pre-wrap and tape for extremities, may wrestle • Face and scalp may not have contact until lesion is flat????

5. Ringworm Care • Topical • Lamisil 1%, Mentax 1%, Naftin 1%, Spectazole 1% cream 2x per day • Continue treatment for 1 week after lesion is gone

6. RingwormCare • Oral medications • Lamisil 250mgs per day for 2 weeks • Sporanox 200 mgs per day for 2 weeks • Diflucan 200 mgs once a week for 3 weeks

7. Ringworm appearance

8. Ringworm

9. Ringworm

10. Impetigo • Bacterial infection (streptococcus or staphylococcus aureus) • Extremely contagious • May be spread on mat surface • Associated with minor skin trauma or secondary to viral infections

11. Impetigo • Honey colored • Wet, moist lesions

12. ImpetigoCare • Prescription Topical antibiotic: Mupirocin (Bactroban) • Oral antibiotic for 72 hours prior to contact • May not cover and wrestle • No oozing, draining or moist lesions

13. ImpetigoCare • Keflex 500 mgs 2x/day for 10 days • Pen VK 500 mgs 4x/day for 10 days • Clindamycin 300 mgs 4x/day for 10 days

14. Impetigo

15. Impetigo

16. Molluscum Contagiosum • Pox virus • Treat to prevent transmission • Central umblication, belly button appearance • Contact contagious

17. Molluscum ContagiosumCare • Must be curetted or removed before meet • Single or clustered lesions may be covered by Bioclusive then pre-wrap and tape

18. Molluscum Contagiosum

19. Molluscum Contagiosum

20. Molluscum Contagiousum

21. Herpes Gladiatorum • Cold sores or recurrent “impetigo” • 73% occur on head or face • 3-8 days after contact • Only skin to skin , not from mats • Stress, cutting weight, abrasions may cause recurrence

22. Herpes GladiatorumCare • No new and all lesions to be scabbed over • Must be on systemic antiviral for 148 hours(7 days) before practice or competition • If no meds: no visible lesions • No covering of lesions

23. Herpes GladiatorumSingle Outbreaks • Isolate the wrestler, seek medical care, no contact activities, antiviral for 6 days • All wrestlers in contact up to 3 days prior should be isolated for 8 days and monitored for symptoms.

24. Herpes Gladiatorum

25. Herpes Gladiatorum

26. Herpes Gladiatorum

27. Herpes vs Impetigo • Herpes: multiple areas of vesicles, large lymph nodes, low grade fever, usually dominant side of wrestler • Impetigo: large weeping areas, honey colored, no small vesicles, crustiness covering the sites

28. Herpes vs Impetigo

29. References • http://www.nlm.nih.gov/medlineplus/ency/article/001439.htm • http://www.webmd.com/skin-problems-and-treatments/tc/ringworm-of-the-skin-prevention • http://dermatology.about.com/cs/fungalinfections/a/ringworm.htm

30. References • http://www.emedicine.com/EMERG/topic246.htm • http://dermnetnz.org/viral/herpes-simplex.html • http://dermnetnz.org/viral/herpes-zoster.html

31. References • http://www.nlm.nih.gov/medlineplus/ency/article/000860.htm • http://www.webmd.com/a-to-z-guides/impetigo-overview