Skin Diseases

Question 1

Tinea Capitis

Answer 1

FUNGAL

Gray scaly patches accompanied by mild hair loss

Antifungal for 2 weeks before RTP

Question 2

Tinea Corporis

Answer 2

FUNGAL

“Ringworm”

Well-defined, round, erythematous, scaly plaque with raised borders. However, tinea corporis gladiatorum (in wrestlers) can be irregularly shaped.

Topical antifungal if local, 2x per day

Systemic antifungal if widespread

Must be treated for 72 hours before RTP

Must be covered

Question 3

Herpes Simplex

Answer 3

VIRAL

Lesions typicaly found on head, face, neck, or upper extremities. Present as clustered, tense vesicles on erythematous base.

Can RTP when symptom free, no new blisters in 72 hours, 120 hours of oral antiviral

Cannot be covered to play

Question 4

Molluscum Contagiousum

Answer 4

VIRAL

Umbilicated, or delled, flesh colored to light pink pearly papules, measuring 1-10 mm in diameter

Physical distruction with currette

Covered for RTP

Question 5

Impetigo

Answer 5

BACTERIAL

Bullous impetigo presents on trunk or extremities with raised blisters that rupture easily, resulting in moist erosions surrounded by a scaly rim.

Nonbullous impetigo presents with thin walled vesicles that rupture into a honey colored crust.

Culture and sensitivity

Topical treatment

RTP when no new lesions for 48 hours, 72 hours of antibiotics, and no drainage

Cannot cover to play

Question 6

Folliculitis

Answer 6

BACTERIAL

Papules and pustules at the base of hair follicles, especially in areas that have been shaved, taped, or abraded

Drainage for culture and sensitivity

RPT when no new lesions for 48 hours, 72 hours of antibiotics, no draining

Cannot cover to play

Question 7

Furuncles/Carbuncles

Answer 7

BACTERIAL

Furuncles: tender ares that, over several days, develop a reddened nodular swelling

Carbuncles: the coalescence of multiple furuncles in a deep, communicating, purulent mass

Drainage for culture and sensitivity

RTP when no new lesions for 48 hours, 72 hours of antibiotics, no draining

Cannot cover to play

Question 8

Methicillin-resistant Staphylococcus aureus (MRSA)

Answer 8

BACTERIAL

Begins as furuncles, carbuncles, and abscesses. Commonly confused with spider bites. Begin as small pustules that develop into larger pustules or abscesses with areas of erythema and some tissue necrosis. Lesions should be cultured.

Isolated from teammates.

RPT when no new lesions for 48 hours, 72 hours of antibiotics, no draining

Cannot cover to play