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These were the sites that had come in contact with the bottom surface of the pool. The instep of the medial arches had not been in contact with the pool surface and was not affected.
#SWIMMERS ITCH ON FEET SKIN#
The lesions were located on the skin overlying her metatarsals and distal phalanges and, to a lesser degree, the heel of the ventral feet (Figure 1). It was rough.Ĭutaneous examination of her plantar feet showed early blister formation presenting as tender central erythema, which is surrounded by annular white areas. It was created by mixing small pebbles with cement. The pool’s bottom surface had been finished with a non-slip surface. When she finished her aquatic activities, she had difficulty walking on her tender feet. Her feet had become tender and erythematous during the several hours of swimming and playing in a newly constructed freshwater pool indeed, this was the first time she had been in the pool, and she had never developed similar pedal symptoms or lesions when she swam in other pools. Case PresentationĪ seven-year-old girl presented with painful red feet. In addition to discussing the characteristics of pool toes, the features of other pool-associated pedal dermatoses are reviewed. The friction-induced injury resulted in early blister formation not only on the plantar surface of her toes but also on the areas of her soles-including her heels-that came in contact with the rough swimming pool surface.
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Ī seven-year-old girl developed pool toes following her initial exposure to the bottom surface of a newly constructed swimming pool in her backyard. Participants of aquatic sports in the freshwater environment may develop activity-related skin conditions. Lakes, ponds, and swimming pools are common sources of freshwater. Īquatic sports occur in either freshwater or saltwater. In addition, the environment in which the sports enthusiast participates may influence the dermatoses that develop. However, some skin disorders occur more commonly in particular individuals such as athletes. The occurrence of some cutaneous conditions is idiopathic an associated triggering factor is not readily apparent.
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In addition to discussing the characteristics of pool toes, the features of the other pool-associated pedal dermatoses are reviewed. The friction-induced injury, referred to as pool toes, resulted in skin lesions not only on the plantar surface of her toes but also on the areas of her soles-including her heels-that came in contact with the rough pool surface. A seven-year-old girl developed erythema and superficial blisters on her feet after they were exposed to the surface of her new swimming pool. The specific dermatoses include aquagenic keratoderma, aquagenic pruritus, aquagenic urticaria, cold-induced urticaria, contact urticaria, erosion interdigitalis blastomycetica, erythrasma, Mycobacterium abscessus hand and foot disease, onychomycosis, photosensitivity, pitted keratolysis, plantar verruca, pool dermatitis, pool feet, pool toes, pool water dermatitis, pseudomonas hot-foot syndrome, skin cancer, subcorneal hematoma, sunburn, swim fin dermatitis, tinea pedis, toe web infection, and xerosis. The causes for these conditions are asteototic dermatitis, contact dermatitis, friction-induced injury, infections, keratoderma, pruritus, thermal injury, ultraviolet radiation exposure, and urticaria. Pool swimmers are susceptible to pedal dermatoses.