Background-Over the last few years, changes in cutaneous homoeostasis resulting from sports activities have been reported. In particular, alterations in sweating mechanisms, the hydrolipid barrier, and surface bacterial flora, together with exposure to atmospheric conditions and the need to use medicaments, detergents, and other topical substances, predispose subjects to allergic contact dermatitis. Objective-To evaluate the incidence of allergic contact dermatitis in a group of young people practising sports activities. Methods-Patch tests were performed to confirm the diagnosis of irritant or allergic dermatitis; in addition, the radioallergoabsorbent test (RAST) to latex was evaluated in the group studied. Results-Allergic contact dermatitis caused by thiourams (23.3%) and mercaptobenzothiazole (20.9%) was prevalent. Other haptens, such as benzocaine and nickel, which are contained in clothing, equipment, topical medicaments, and creams used for massage, were also allergenic. In two cases, RAST positivity to latex was registered. Conclusions-The results suggest that close contact with sports equipment may increase the incidence of allergic contact dermatitis. Students practising certain sports may have "professional" allergic contact dermatitis to additives used in the production of rubber. (Br J Sports Med 2001;35:100-102) Keywords: skin; allergic contact dermatitis; latex; patch test; equipment; thiourams The increased exposure of human skin to the environment as the result of sports activities alters its barrier function against external agents. Firstly, the skin becomes the target of many stresses related to both physical exercise and the special clothing used in various sports, often more traditional than practical. In addition, physical exercise causes changes in the hydrolipid film and the skin pH, which tends to rise when its buVer systems, including lactic acid, glutamic acid and aspartic acid, undergo changes. Moreover, increased sweating associated with reduced opportunity for evaporation in sports attire such as the suits worn by fencers and the fire resistant overalls worn by racing drivers modifies the defensive capacity of the skin, altering the hydrolipid barrier and surface microbial flora.
1At the same time, exposure to sun and other atmospheric conditions triggers a series of reactions such as dissolution of molecular bonds, formation of oxygen free radicals, production of peroxidase, and denaturation of some protein structures.2 Finally, frequent washing and the use of medicaments and other topical substances alter the normal physiological skin balance in athletes, increasing the possibility for allergising substances to penetrate and therefore increasing the incidence of irritant contact dermatitis (ICD) or allergic contact dermatitis (ACD). The onset of ICD, especially after contact with solvents or other aggressive organic substances, may be aggravated by hyperhydrosis. ACD is elicited after contact and re-exposure to the same sensitising agent, with contributions from variou...