I coach a 14 year old girls soccer team. One of my players has a rash that is becoming unbearable for her. I have talked with her parents and they have tried everything. They have tried sleeves, different shin guards, different detergents, otc ointments, prescribed medicines. The family has even went as far as doctor prescibed steroids. I found out that her older brother had the exact same thing some years ago. Any type of ointment or cream or anything that makes the area "wet" or "moist" just makes it worse. This is no regular rash, this can get to the point of open sores. Could this be a symptom of a mild case of EB? This girl lives to play soccer and I could not imagine how bad this pain is to make her want to quit. Please help.
There are a few possibilities which need to be ruled out. The important possibilities are erythema nodosum, lichen simplex chronicus and subacute nodular migratory panniculitis. Subacute nodular migratory panniculitis mostly effects women and presents as unilateral, single, erythematous nodule or plaque on the shins. In addition, pretibial myxedema needs to be ruled out.
I would suggest a dermatologist’s/physician/s evaluation and getting biopsy skin and blood tests done to rule out these conditions.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how the young girl is doing.
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