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I read with interest the article titled “Relapsing Leukocytoclastic Vasculitis Triggered by Activity in a Young Woman.”1 In this article, the authors suggest that the condition has “eluded mention in the American literature.”1 (p602) Furthermore, they state that this condition has not “demonstrated clinical or laboratory evidence of systemic disease.”1 (p602) Neither of these comments is accurate.
The first inaccurate assertion illustrates the complexity of reporting a “first case.” Some American journals lack indexing on typical journal searches. For instance, an important journal for primary care sports medicine issues included a discussion of this sports dermatosis almost 4 years ago.2 Another mention of this entity appeared in another unindexed journal 1 year later.3 In addition, discussions of unusual dermatologic conditions, such as this exercise-related vasculitis, appear not only in case reports but also embedded within review articles on general topics, such as sports dermatology. Three years ago, a thorough discussion of exercise-induced vasculitis in a review of skin manifestations of running appeared in the Journal of the American Academy of Dermatology.4
On the issue of systemic associations with exercise-related vasculitis, a report in the indexed literature exists that notes an association between a teratoma and exercise-induced vasculitis.5 The topic of purpuric lesions in athletes can be confusing, as the authors note. Both noninflammatory6 and inflammatory (vasculitic) sports-related purpuric entities exist; the first step in clearing the confusion requires altering the inflammatory terminology to exercise-induced vasculitis.
Correspondence: Dr Adams, PO Box 670592, Cincinnati, OH 45267-0592 (adamsbb@email.uc.edu).
Financial Disclosure: None reported.
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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