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Aguayo–Leiva I et al. – Kelly is 28 years of age and a recreational sea swimmer and surfer. He presented with a rash on both arms of 6 months duration. Kelly said a similar eruption occurred 12 months previously and resolved in a few weeks with 1% hydrocortisone cream. He has no significant past history, is not on any medication, and there is no recent history of trauma or contact with insects or animals. Physical examination revealed multiple, flat, nonblanching dark red lesions on the medial aspect of both arms...‘Sports purpura’ are nonpalpable purpura that occur on exposed parts of the body, typically the arms, and result mainly from mechanical trauma. This case study illustrates that surfing is one of the many activities that may cause ‘sports purpura’. As sports people may not make the temporal association with the triggering activity, it is important to ask about participation in sports when a patient presents with purpuric rash.

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