PA Medical News about golfer's vasculitis

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Pruritic rash on the legs of a sports enthusiast
JAAPA, 08/13/09

Metz AE – A 56–year–old man presented to the emergency department with a chief complaint of “rash” on both lower extremities (slightly worse on the left than on the right). The rash first appeared after he completed a round of golf on a warm, sunny day in Charleston, South Carolina, about 6 hours prior to presentation. The gradually developing rash was mildly pruritic. According to the patient, the left lower leg might be slightly swollen, but there was no pain. He reported no chest pain, shortness of breath, or exposure to poison ivy or poison oak. He had not taken any medications or applied any creams or lotions recently. None of his golf round was spent in high grass or weeds. He denied oliguria or dark urine...A self–limited disorder, golfer's vasculitis typically disappears spontaneously in 24 to 48 hours but frequently recurs with additional hot–weather activity. There is no known cure or preventive method other than avoidance of vigorous activity in hot weather. Application of cool compresses to the lower legs may reduce swelling and the mild pruritus that is sometimes associated with the condition.

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