Tolio: Foot Rot in Grand Canyon River Runners

Abstract

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 disorders 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.

Afecções dermatológicas em pés de militares: revisão narrativa da literatura

“…Consistem basicamente na queratólise dos pés por bactérias do calçado do caminhante, especialmente em calçados fechados e apertados, com grande condição de umidade e calor. 31…”