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Old 02-25-2007, 09:07 AM   #1
phamton
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Disney Rash to be named "Golfers Vasculitis"

I tried to find the old threads about this with no luck, so I decided to post a new thread.

http://walking.about.com/od/medhot/a/legrash.htm

The common heat leg rash now has a name

Go to any multi-day walking event in the summer and you will see it - a red leg rash on the calves of many walkers. Often it starts above the sock line and makes red patches and splotches up their calves. It usually doesn't itch. We believe it is a heat-related leg rash as these same walkers don't get it in cooler weather. What is it?

Golfer's Vasculitis

Ask most physicians about this common rash and they draw a blank. That is probably due to few people seeking medical help for it. By the time they got a doctor's appointment, it would have cleared up, as it commonly goes away in a couple of days. At last, a paper in the "Australasian Journal of Dermatology" has described it and proposed naming it "Golfer's vasculitis."

Causes of the Heat Leg Rash

The research article said many people underwent extensive allergy testing, believing they must be having a reaction to some chemical or plant.
But it is simply an irritation of the blood vessels following prolonged exercise in the heat, such as walking for extended periods or playing 18 holes of golf. It is more common in people over 50. In my experience, walkers can't pinpoint anything new they used that may be causing a reaction. And so many walkers have it that they couldn't all have contacted the same irritant. The source is simply heat and age, your leg blood vessels getting irritated from the heat.

Prevention

The research offered no treatment or prevention. It seems to occur in healthy, active people and they suggest it should not be a health concern. They recommend not getting allergy testing, etc.

Treatment

In my non-medical experience at Breast Cancer 3-Day Walks and walking conventions, this rash appears on a vast range of walkers and commonly goes away by itself after a few days. Pampering yourself after a good day's long walk with a cool bath, sitting with your feet up, or using cool wet towels on the rash areas may be relieving.

http://www.blackwell-synergy.com/doi...0.2005.00127.x

Australasian Journal of Dermatology
Volume 46 Issue 1 Page 11 - February 2005
To cite this article: Robert I Kelly, Jacinta Opie, Rosemary Nixon (2005)
Golfer's vasculitis
Australasian Journal of Dermatology 46 (1), 11–14.
doi:10.1111/j.1440-0960.2005.00127.x

SUMMARY

A number of patients presented with an erythematous, purpuric rash occurring on the legs in association with playing golf and also after prolonged walks or hikes. Many patients believed that it was an allergic reaction to grasses or insecticides and had sometimes undergone extensive allergy testing. We collected reports of 17 such cases from dermatologists in the state of Victoria, Australia. Patients were interviewed by phone and asked to submit photographs of the rash if possible. Of these, the eruption developed in 15 after playing 18 holes of golf and in three following prolonged hikes. The rash would usually develop over the summer months under hot conditions. Most patients were over 50 years of age when the tendency to develop the eruption began. Biopsies of the rash in the active phase showed leukocytoclastic vasculitis. Patch testing and investigations for potential underlying causes for vasculitis were negative or unremarkable. It would seem that this is a common but poorly documented condition. The clinical presentation and histology would support the conclusion that it represents a leukocytoclastic vasculitis induced by prolonged exercise under hot conditions. The findings would suggest that it occurs in healthy people and extensive investigation with blood tests or allergy testing is inappropriate. We believe the condition should be termed 'golfer's vasculitis', as golf appears to be the most common precipitating event and such a term would enable the condition to become more widely recognized.

Last edited by phamton; 02-25-2007 at 09:17 AM.
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Old 02-25-2007, 03:30 PM   #2
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Sounds OK; it would be good for this to have a recognized name.

Should make a point that it shouldn't be confused with PMLE (polymorphic light eruption), which DOES itch -- rather horrendously -- and does not normally exhibit the "sock-line" mark. http://dermnetnz.org/reactions/pmle.html
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Old 10-19-2007, 12:54 PM   #3
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Thanks for this info and especially the link to About.com. I've been getting the Disney Rash in varying degrees on every trip in the hot weather and have a bad case after a lot of walking yesterday in the parks, which was quite hot and humid. I even wore my jeans thinking that would stop the sun's reflection off the pavement but now I know what is causing it! I've tried just about everything to try to prevent it. I'm glad I decided to do another search for info about it!
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Old 12-09-2009, 08:32 AM   #4
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Old 12-09-2009, 08:42 AM   #5
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Is the rash only on the exposed skin, or does it appear under the socks as well?

Someone suggested that the materials in certain sidewalks including at WDW reflect ultraviolet light giving people's legs a double dose of sun and therefore sunburn twice as fast. Not sure whether the grass on a golf course also reflects back UV.

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Old 12-09-2009, 09:00 AM   #6
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Oh wow, that's a relief knowing it is not more serious! I have gotten the Disney Rash during my last several trips but I thought I was allergic to the landscaping since Disney is the only place I get it!
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Old 12-09-2009, 09:29 AM   #7
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hmmm...intriguing, but honestly, in my case, i don't think inflamed blood vessels have anything to do with it. i only get the disney rash at epcot (which is why i personally call it epcot rash) and it makes HUGE, red splotches on my legs. i read on here somewhere in the past year that the pavement at epcot has something added to it that makes it more reflective, which is likely the cause of the rash in those of us who are more sensitive to light. i am allergic to the sun but, for some reason, never have to put sunscreen on my legs, except at epcot. i can go without sunscreen on my legs anywhere else without a problem. i do have to wear it on all other exposed skin any time i'm outside for more than 5 minutes.
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Old 12-09-2009, 11:21 AM   #8
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Disney is the only place we have ever had this condition - although we have vacationed in others areas where we just walked and walked and walked.. I don't golf, so I don't know if it would show up under those conditions or not..
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Old 12-09-2009, 04:14 PM   #9
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Quote:
Originally Posted by momof1princess View Post
hmmm...intriguing, but honestly, in my case, i don't think inflamed blood vessels have anything to do with it. i only get the disney rash at epcot (which is why i personally call it epcot rash) and it makes HUGE, red splotches on my legs. i read on here somewhere in the past year that the pavement at epcot has something added to it that makes it more reflective, which is likely the cause of the rash in those of us who are more sensitive to light. i am allergic to the sun but, for some reason, never have to put sunscreen on my legs, except at epcot. i can go without sunscreen on my legs anywhere else without a problem. i do have to wear it on all other exposed skin any time i'm outside for more than 5 minutes.
Okay.... I thought I was going crazy, but the last couple of times I've been to Epcot in hot weather I've gotten this. Doesn't happen at any of the other parks -- just Epcot. Sorry others are getting this, but glad to know I'm not crazy.
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Old 12-09-2009, 04:18 PM   #10
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Quote:
Originally Posted by MiniGirl View Post
Okay.... I thought I was going crazy, but the last couple of times I've been to Epcot in hot weather I've gotten this. Doesn't happen at any of the other parks -- just Epcot. Sorry others are getting this, but glad to know I'm not crazy.
Same here - our experiences have been only in Epcot.. Back in 2001, I thought I read over on the parks board something about there being very small pieces of glass mixed in with the pavement ingredients and when mixed with the sun reflecting up from it the end result was this "rash"..
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Old 12-09-2009, 07:35 PM   #11
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I've only gotten the rash at Epcot too. The first time was mild but this October when it was so hot and walking around at the F&W festival it was really bad.
I found applying a hydrocortisone cream morning and night helped it.
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Old 01-01-2010, 10:38 AM   #12
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I found a link to this thread from the Cruise board. I also get this rash, and have gotten it at Disney as well as other amusement parks.

First time (2000) I got it in Animal Kingdom

This past summer, I got it at our local Six Flags

In December, I got it at Magic Kingdom

For me, hydorocortisone cream or Gold Bond Powder or Cream works well.
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Old 06-20-2011, 08:11 AM   #13
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I've been getting this for the past few years only at WDW. I've been to the Caribbean in the summer and have done alot of walking there. I have never gotten the rash there. Mine stops at the sock line. This year I think I will try very low socks and sunscreen. Maybe I'll bring along a tube of Benedryl cream just in case.
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Old 06-20-2011, 08:15 AM   #14
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DH HAS THIS . The past couple years he has been getting this on the golf course. We have attributed it to chemicals used. He had a really bad case last week at the state golf tournament. I have been doing some research on this because we were trying to figure out what the heck it is.
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Old 09-28-2011, 01:01 AM   #15
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Disney Rash

I also developed a rash, mostly on the back of my legs, above my socks below the knee. I don't think it is a heat rash. We were at the Magic Kingdom on Sunday. It started raining so we sat in front of the "Cyber Cafe" at a table to get out of the rain. I pulled up one of the other chairs and put my legs up to rest a while. I noticed my legs were wet, but there was no rash at that point. After about 10 minutes we got up and started walking again. I noticed one of my legs was feeling odd, looked down and there was a rash starting, not itchy or raised, just painful. In the next 30 minutes it inflamed into a bad rash, mostly on one leg, a little on the other (I think because I crossed my legs when I had them up). I think it was some kind of chemical used on the chair. Anyone else with the rash put thier feet up awhile?
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