Exercise-induced vasculitis

Journal of the European Academy of Dermatology and Venereology : JEADV
A-A Ramelet

Abstract

Usually misdiagnosed and ignored in the literature, exercise-induced vasculitis (EIV) is not uncommon, occurring mostly in long-distance runners and in females after long walks, especially in hot weather. I report 23 otherwise healthy patients (22 females, 1 male) who developed EIV after walking or hiking in hot weather. Erythematous, urticarial or purpuric plaques arose on the lower legs, not involving skin compressed by socks. Symptoms included itch, pain, and burning sensation. Lesions resolved after some days. Relapses were frequent at further muscular exercise, and could be prevented in some cases by compression hosiery, manual lymphatic drainage, intake of oedema protective agents, or steroids (local or systemic). Histopathology demonstrated leucocytoclastic vasculitis in five biopsies, and urticarial vasculitis in one. Extensive blood investigations have been performed in six patients and were negative. No clear relation with chronic venous disease (duplex or Doppler) had been established in 12 patients. I suggest denominating this condition exercise-induced vasculitis. This clinical entity is well defined, but poorly recognized. The presentation of 23 original cases demonstrates its reality.

References

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Jun 5, 2004·Dermatology : International Journal for Clinical and Investigative Dermatology·Albert-Adrien Ramelet

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Citations

May 28, 2013·PM & R : the Journal of Injury, Function, and Rehabilitation·Dan Cushman, Leslie Rydberg
Mar 6, 2012·La Presse médicale·Nicolas Kluger
Oct 18, 2011·Journal of the American Academy of Dermatology·Charlotte HwaJennifer A Stein
Aug 25, 2015·Journal of the European Academy of Dermatology and Venereology : JEADV·S SanyalA Ilchyshyn
Sep 7, 2016·American Journal of Clinical Dermatology·Olivier EspitiaMarc-Antoine Pistorius
Jul 27, 2006·The Australasian Journal of Dermatology·Albert-Adrien Ramelet
Mar 1, 2019·Vascular Medicine·Weijuan LiEsther Sh Kim
Aug 11, 2007·Current Rheumatology Reports·Natalie A Brown, John D Carter
Jun 2, 2021·The Medical Clinics of North America·Kylee J B KusRuth Ann Vleugels
Jan 7, 2022·Angiology·Alexandre QuéneauOlivier Espitia

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