Aspects herein relate to apparel items and apparel systems that utilize applied or printed foam nodes to provide, among other things, stand-off between an apparel item and a wearer's skin surface. One or more of the foam nodes, or areas of the textile surrounding the foam nodes, may be perforated to provide a fluid communication path between an inner-facing surface and an outer-facing surface of the apparel item. The communication path may be used to facilitate air exchange between the external environment and the wearer's body and/or to provide an exit path for moisture vapor generated by the wearer.