Dermatologists agree: Murray Chass is full of it

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Murray Chass’ “I know Mike Piazza did steroids because he had back acne” crusade has its charms, but sadly, it does not have much medical science on its side.

We know this, because Howard Megdal did some shoe leather reporting on the matter and was told by multiple dermatologists that (a) back acne is common; (b) it’s even more common in athletes who wear equipment like catcher’s gear; (c) there are multiple skin issues that affect backs that a lay person may confuse for acne; and (d) as many as half of all steroids users don’t have back acne anyway, so the correlation Chass is so hot for doesn’t work even if Piazza took steroids seven days a week and twice on Sunday. Money quotes:

All the dermatologists agreed on one thing: a lay person viewing Piazza’s back in a clubhouse setting isn’t a reasonable standard for diagnosing back acne, let alone asserting a connection between that problem and steroid use.

“I would say that conclusion is not fair,” Dr. Schweiger said.

“I would say no,” Dr. Davis said.

And Dr. Goldwasser, after a long pause, described Chass’s conclusion as “presumptuous. That’s the word I would use.” When asked if that was a polite word for the word she would use, Goldwasser laughed and said, “You could say that.”

So even if Chass is right about Piazza taking steroids, he’s just guessing.  But we knew that already, did we not?

Marcus Stroman dealing with blister again

Marcus Stroman
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Blue Jays right-hander Marcus Stroman might be headed to the disabled list soon, manager John Gibbons told reporters following Friday’s rain-shortened loss to the Yankees. The righty lasted just four innings on the mound before calling it a night, and gave up five runs, six hits and two walks in a performance that Gibbons claimed was at least partially affected by recurring blister issues on his right middle finger. Now, it looks like he might be removed from the rotation for some much-needed rest and rehabilitation; if so, it’ll be his second such stint this year.

Stroman, 27, has struggled to return the kind of winning record and sub-4.00 ERA that characterized his previous seasons with the club, mostly due to the combined seven weeks he missed with blisters on his throwing hand and chronic fatigue in his right shoulder. In a recent start against the Rays, things got even more gruesome when his blister appeared to start bleeding in the middle of his outing and MLB.com’s Gregor Chisholm notes that the wound has constantly interfered with the right-hander’s pitch selection and delivery. When healthy, Stroman has managed a 4-8 record through 18 starts in 2018 with a career-worst 5.27 ERA, 3.2 BB/9 and 6.8 SO/9 in 100 2/3 innings. This will be the first year since 2015 in which he has not logged at least 200 innings in a single season.

While Stroman may not need an extended stay on the DL before he returns to the mound, it’s not clear what kind of timetable the Blue Jays expect for his recovery. He’s been the second-most valuable starter (behind the now-traded J.A. Happ) in a rotation that currently ranks 17th in the majors with a combined 4.90 ERA and 6.8 fWAR.