What causes erysipelas?

Written by Zhu Zhu
Dermatology
Updated on September 29, 2024
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Erysipelas is an acute inflammation of the skin and reticular lymphatic vessels. The onset of erysipelas is due to hemolytic streptococci invading the skin and mucosal reticular lymphatic vessels through small wounds in the skin mucosa. Erysipelas commonly occurs on the lower limbs and face, progressing rather quickly, with seldom tissue necrosis, and a tendency for recurrent episodes. The local symptoms include patchy erythema, bright red color, lighter in the center, with clear and slightly raised edges.

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Written by Zhu Zhu
Dermatology
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Can erysipelas be incised and drained?

Erysipelas is different from many infectious diseases in that it should not be incised and drained. Clinically, it is contraindicated to perform incision and drainage on erysipelas because it is an inflammatory non-suppurative infection. As it does not suppurate, incision and drainage would not be effective and might even lead to secondary infections, worsening the condition. Therefore, not only is incision and drainage not recommended for erysipelas, but it is also contraindicated. The treatment of erysipelas should focus on anti-inflammatory methods, possibly involving oral or intravenous medication. (Please take medication under the guidance of a doctor.)

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Dermatology
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The fastest method to treat erysipelas

The fastest and most effective method for the treatment of erysipelas is systemic medication. After a penicillin skin test, administer intravenous penicillin antibiotics. If the patient is allergic to penicillin, switch to clindamycin injections for intravenous infusion. The treatment course is around 10-14 days, and requires bed rest with elevation of the lower limbs. Examine whether the primary lesions are combined with tinea faciei or tinea pedis, avoid picking the nose and feet, which can cause skin trauma and other inducement factors, and enhance skin cleanliness. Apply magnesium sulfate injection solution externally to the affected area, and treat the symptoms of the primary lesions, such as applying ketoconazole cream to the lesions caused by tinea pedis. (Please follow medical advice when using medication.)

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What foods should be avoided with erysipelas?

There are many foods that should be avoided in the case of erysipelas. Firstly, it is advised to avoid spicy and stimulating foods; for example, smoking and alcohol must be refrained from, as well as spicy peppers, garlic, onions, and ginger, which are all considered stimulating and should be avoided. Secondly, after contracting erysipelas, one should avoid certain aggravating foods such as shrimp and sea fish. It is better to eat more foods that help enhance the immune system, and those rich in protein and vitamins.

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What should be paid attention to in the diet for erysipelas?

Erysipelas is a skin condition that definitely requires attention to diet after being diagnosed. Firstly, it is recommended for patients suffering from erysipelas to consume more vegetables and fruits, including apples, pears, grapes, bananas, etc. Additionally, it is advised to avoid certain foods such as seafood, mangoes, beef, lamb, and other stimulative substances. Lastly, it is crucial to avoid overly spicy foods, smoking, and drinking alcohol.

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Written by Zhu Zhu
Dermatology
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Can erysipelas heal on its own?

Erysipelas is a disease caused by bacterial infection, primarily by the erysipelas streptococcus. Generally, erysipelas is unlikely to heal on its own. Once infected with erysipelas, it indicates that our body's resistance is relatively low. It is recommended to eat more foods rich in vitamins and proteins during this time. You should avoid drinking alcohol, smoking, and consuming overly spicy and stimulating foods such as chili peppers, onions, ginger, and garlic. Also, try to avoid foods that might induce further issues, such as seafood, mangoes, etc.