Exercise-induced vasculitis

From IDWiki
  • Small-vessel vasculitis
  • More common in women over 50 years
  • Primarily affects the lower legs, with petechial or urticarial rash, either itchy or painful
    • Spares the foot and ankle compressed by socks
  • Triggered by strenuous exercise such as running or prolonged hiking, especially in the heat
  • Self-limited, resolving after a few days
  • Should rule out other vasculitides, autoimmune disorders, and coagulopathies
  • Can be treated with NSAIDs, topical steroids, and leg elevation