Adaptive Skin Changes in Paralympic Athletes: Clinical Evaluation and Phenotype-Based Corrective Approaches

Adaptive skin changes in Paralympic athletes represent a significant yet underexplored area in dermatology. Continuous exposure to mechanical pressure, friction, occlusion, and prosthetic devices leads to specific dermatological conditions that differ from those observed in able-bodied athletes. This study aimed to evaluate the clinical and functional characteristics of adaptive skin changes and to develop phenotype-based corrective approaches.A cross-sectional study involving 120 Paralympic athletes was conducted using clinical examination, dermoscopy, transepidermal water loss (TEWL), and ultrasound imaging. Hyperkeratosis (72%), irritant dermatitis (65%), and maceration (38%) were the most common findings. TEWL values were significantly elevated in affected areas, indicating impaired barrier function.The results demonstrate that adaptive dermatoses are multifactorial and require individualized correction strategies based on clinical phenotype.

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