IntroductionAquatic sport dermatoses include a variety of skin conditions that occur in athletes who participate in sporting activities in or on the water. Chemicals and microbes inhabiting the aquatic environment are often responsible for the development of these cutaneous conditions. We review common water sports dermatoses and divide them based on activities that occur in saltwater, freshwater and activities outside the water. Some of the water sports represented in the review include swimming, diving, scuba diving, snorkeling and water polo which are mainly based in the water, as well as sailing, rowing, fishing, surfing, whitewater rafting and water-skiing which are based on the water and outside the water. Aquatic sports dermatoses are presented according to their etiology including infectious and organism-related, contact dermatitis and miscellaneous causes. We also describe conditions specifically associated with water sports including sailing, rowing, fishing and surfing. This comprehensive review focuses on the key recognizable clinical features and principles of management of aquatic sports dermatoses. Our aim is to help sports medicine physicians, dermatologists and other health care providers recognize and treat water sport dermatoses in athletes.