Tolio: Foot Rot in Grand Canyon River Runners.

Autor: Myers TM; Grand Canyon National Park, Branch of Emergency Services, Grand Canyon, Arizona. Electronic address: canyondoc@gmail.com., Bigler CJ; Northern Arizona Dermatology, Flagstaff, Arizona., Maurer MB; Coconino County Public Health Services District, Flagstaff, Arizona., Gaither ME; Coconino County Public Health Services District, Flagstaff, Arizona., Taylor WM; Retired.
Jazyk: angličtina
Zdroj: Wilderness & environmental medicine [Wilderness Environ Med] 2020 Mar; Vol. 31 (1), pp. 82-86. Date of Electronic Publication: 2020 Jan 31.
DOI: 10.1016/j.wem.2019.09.003
Abstrakt: Treating skin disorders in wilderness settings is often challenging. In this report we describe common skin conditions affecting the feet of river runners on the Colorado River in Grand Canyon National Park. These conditions are frequently referred to by river runners with a catchall term, "tolio." Several skin disorders have been identified as components of tolio, with the most prevalent currently being pitted keratolysis. We present a case of pitted keratolysis in a river guide occurring during a multiday river trip, where treatment can be difficult. Prevention is often more important.
(Copyright © 2019. Published by Elsevier Inc.)
Databáze: MEDLINE
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