Back-to-School Skin Concerns: Sports Edition
By Koji Ota, MD
Fall is an exciting time when kids return to school to begin a new academic year, and for many, this also kicks off the fall sports season! Let’s discuss some of the most common skin concerns that affect young athletes and what to look out for.
Sun Protection
Proper sun protection remains important even as the summer ends and the weather cools. This is especially true if your child participates in outdoor sports, where they are exposed to ultraviolet (UV) radiation for hours at a time, which can cause sunburns and increase the risk of skin cancer. Make sure to apply a sunscreen that has broad-spectrum coverage and an SPF of 30 or higher, and reapply every 2 hours when going outside.
Folliculitis and Acne
Bacterial folliculitis, or infection of hair follicles, is common among athletes. This is due to various risk factors such as increased sweating and friction, or rubbing against various equipment like protective gear. These factors can also worsen pre-existing acne, which is not primarily an infection, but can look similar to folliculitis. It is important to shower soon after sports and to clean equipment and dirty clothing properly. Using cleansers or wipes that contain anti-acne ingredients, such as benzoyl peroxide or salicylic acid, can be helpful in controlling acne as well.
While most breakouts are mild, a bacterial skin infection can sometimes become serious and require treatment. If your breakouts are recurrent or worsening, see a dermatologist who can help you develop a proper skin care routine for the sports season.
Fungal Infections
Tinea, commonly referred to as ringworm, is a skin infection caused by a group of fungi called dermatophytes that commonly affects athletes. They cause itchy, round, scaly plaques with a central clearing. They are spread through skin-to-skin contact, as well as contact with contaminated surfaces. These infections can appear anywhere on the body.
Most mild cases can be treated with topical antifungals. However, in certain areas of the body, such as the scalp, a course of oral antifungal medication prescribed by a doctor may be necessary.
Prevention involves keeping your skin clean and dry. It’s recommended to shower after playing sports and to wear dry, clean, non-constrictive clothing. The fungi that cause ringworm thrive in moist environments, such as damp shoes or socks.
Viral Infections
Warts are caused by human papillomavirus infections that can appear as rough, firm bumps. They are also caused by skin-to-skin contact or contact with a contaminated surface, such as showers and swimming pools. Wearing footwear when walking in public areas can significantly reduce the risk of transmission. There are many treatment options for viral infections, ranging from over-the-counter salicylic acid products to in-office treatments that include freezing with liquid nitrogen, prescription topical medications, and specialized injections.
Herpes simplex virus, which commonly causes cold sores on or near the lips, is also transmitted through skin-to-skin contact and results in grouped blisters that may experience burning or stinging pain. This is more commonly seen in high-contact sports, such as wrestling. Taking an oral antiviral medication such as valacyclovir can reduce disease duration when taken early.
These are only some of the most common skin issues that can occur in the setting of school sports. For any questions or concerns, make an appointment with your board-certified dermatologist for an appropriate diagnosis and treatment.
References
- Pujalte GGA, Costa LMC, Clapp AD, Presutti RJ, Sluzevich JC. More Than Skin Deep: Dermatologic Conditions in Athletes. Sports Health. 2023 Jan-Feb;15(1):74-85. doi: 10.1177/19417381211065026. Epub 2022 Jan 17. PMID: 35034516; PMCID: PMC9808835.
- Back to School Skin Health – Combatting Common Classroom Skin Concerns [internet]. US Dermatology Partners. 2019 September [cited 2025 September 7]. Available from: https://www.usdermatologypartners.com/blog/back-to-school-skin-health-combating-common-classroom-skin-concerns/




