All of these skin diseases MAY NOT BE COVERED FOR COMPETTION!
Report anything suspicious to your athletic trainer or physician ASAP so you can stay competitive!
Herpetic lesion (aka herpes simplex, herpes zoster, herpes gladiatorium, cold sore/fever blister) is a viral infection transmitted by direct contact and may appear ANYWHERE ON THE BODY.
Lesion: Numerous clustered vesicles (blisters) filled with clear fluid on a reddened background. The vesicles continue to develop for 7-10 days and eventually become dry, crusted lesions. Recurrent outbreaks are sometimes preceded by irritability, headache, and tingling, burning and/or itching of the skin at the site of recurrence.
Other symptoms may mimic a mild viral illness with fever, joint aches and pains, sore throat, and inflammation of the eyes.
Tinea aka Ringworm is a fungal infection that can be seen anywhere but is most commonly found on the head (tinea capitis) or upper body (tinea corporis) i.e. neck, trunk, and arms.
Lesion: Round, reddened, scaly plaque with raised borders. Though normally circular in shape, the lesion may present with a more irregularly shaped border in athletes.
Molluscum Contagiosum is a viral infection transmitted by skin-to-skin contact.
Lesion: flesh-colored to light-pink pearly papules with a dent or depression in the middle.
Lesions must be curetted (scraped out) by a physician at least 24 hours prior and subsequently covered for competition.
Impetigo is a superficial bacterial infection most commonly found on the face, neck, and upper extremities. It is highly contagious and MAY NOT be covered for competition.
Lesion: begins as a thin-walled vesicle that ruptures to expose a raw surface covered in a yellowish-brown or honey-colored crust. In the early stages it may also present as superficial blisters that rupture easily.
Folliculitis is an infection of the hair follicles that appears in areas of high friction and perspiration and is caused by a bacteria (most commonly Staphylococcus aureus). Furuncles (boils) and carbuncles (larger boils) are complications of this infection. Active infections MAY NOT be covered for competition.
Folliculitis: red or white bumps at the base of the hair follicles, especially in areas that have been shaved, taped, or abraded.
Furuncle lesion: tender, red, nodular swelling.
Carbuncle lesion: when multiple furuncles join, a mass of pus filled tissue develops with localized redness and swelling. A fever may also be present.
MRSA aka Methicillin-Resistant Staphylococcus Aureus is a severe bacterial infection that common antibiotics cannot treat. MRSA lesions often look like spider bites. This highly contagious and potentially dangerous infection MAY NOT be covered for competition.
Lesion: Initially is very similar to folliculitis/furuncle/carbuncle infections. Develops quickly from small pustules into larger pustules or abscesses with swelling, redness, and possibly black markings.
Other symptoms may include systemic infection symptoms such as fever, fatigue, etc.
The sooner you report it, the sooner you get treatment and the sooner you return to play!
MRSA Photo Courtesy of Bruno Coignard, M.D., Jeff Hageman, M.H.S and the CDC
Tinea (Ringworm) and Molluscum Contagiosum Photos Courtesy of Dermatology at Nationwide Children's Hospital
Herpetic Lesions and Impetigo Photos Courtesy of Sports Medicine at Nationwide Children's Hospital