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April 24, 2020
Tolio: Foot Rot in Grand Canyon River RunnersTolio: Foot Rot in Grand Canyon River Runners. Myers et al. Wilderness and Environmental Medicine.
"Treating skin disorders in wilderness settings is often challenging. In this report we describe common skin conditions affecting the feet of river runners on the Colorado River in Grand Canyon National Park. These conditions are frequently referred to by river runners with a catchall term, tolio. Several skin disor- ders have been identified as components of tolio, with the most prevalent currently being pitted keratolysis. We present a case of pitted keratolysis in a river guide occurring during a multiday river trip, where treatment can be difficult. Prevention is often more important."
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