Exercise-Induced Vasculitis (Disney Rash): What You Should Know
If you’ve ever noticed blotchy red or purple marks on your legs after walking long distances in hot weather, you may have experienced exercise-induced vasculitis (EIV). Though dramatic-looking, this rash is usually harmless and clears on its own within a week.
Often called “Disney rash” or “golfer’s rash,” EIV is common among active adults over 50, especially tourists, hikers, and golfers. It happens when heat and prolonged activity cause blood to pool in the lower legs, triggering small-vessel inflammation.
Symptoms include blotchy patches above the sock line, itching, burning, mild swelling, and rashes that worsen with activity but improve with rest.
Treatment is simple: elevate the legs, apply cool compresses, stay hydrated, and use over-the-counter antihistamines if needed. Avoid hot baths, direct sun, or massaging the rash, which can make it worse. Compression socks may help prevent it, though they’re often uncomfortable in heat.
⚠️ When to seek care: If the rash is accompanied by fever, chills, confusion, severe pain, or if it resembles infections like cellulitis, sepsis, or meningitis, see a doctor immediately.
Prevention tips: exercise during cooler hours, rest often, drink plenty of fluids, and wear breathable clothing.
EIV may be startling, but it’s generally a benign reminder of how heat, activity, and circulation interact—one that fades with rest and care.
