Best treatment method for erysipelas

Written by Zhu Zhu
Dermatology
Updated on September 01, 2024
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Erysipelas is an inflammatory skin condition caused by infection with hemolytic streptococcus. It primarily presents with edematous erythema on the skin, which is clearly demarcated, surface tightness, burning sensation, accompanied by significant pain, and swelling of the local lymph nodes. The best treatment for erysipelas is the preferential use of systemic antibiotics, with penicillin as the first choice. Patients allergic to penicillin can be treated with erythromycin or azithromycin, in combination with topical applications, such as wet compresses with Isatis tinctoria solution or Mupirocin ointment. Additionally, it is important to elevate the affected limb regularly, and abscesses forming in the area may require incision and drainage.

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Written by Zhu Zhu
Dermatology
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Erysipelas is a disease.

Erysipelas is a type of skin inflammation infection, primarily involving the superficial lymphatic vessels. There are several triggers for erysipelas, such as trauma, surgery, etc. Generally, erysipelas tends to show symptoms such as fever, chills, nausea, etc. After contracting erysipelas, erythema often appears within a day, but the boundaries of the erythema are quite clear. Upon examination, an increase in skin temperature and skin tension can be observed. Erysipelas primarily occurs on the face or lower legs.

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Written by Zhu Zhu
Dermatology
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What medicine should be taken for erysipelas?

Erysipelas belongs to capillary lymphangitis, mainly caused by infection with hemolytic streptococcus. It mainly presents as pain in the lower leg and the appearance of red streaks on the lower leg, which can be accompanied by local swelling. If left untreated, it can potentially lead to sepsis. Once erysipelas is diagnosed, if medication is recommended, anti-inflammatory drugs such as penicillin can be taken. It is best to treat with intravenous penicillin for more than 7 days. After the symptoms of erysipelas have completely disappeared, it is advisable to continue using the medication for about 3 days, after which medication can be stopped. During the treatment period, it is necessary to avoid alcohol and refrain from consuming spicy and stimulating foods. (Please use medication under the guidance of a doctor, and do not self-medicate blindly.)

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Written by Zhu Zhu
Dermatology
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How is erysipelas treated?

Erysipelas is a relatively common disease in our clinical practice, characterized by an infection of the reticular lymphatic vessels. The onset of the disease is sudden and develops rapidly, primarily featuring redness, pain, and swelling of the lower limbs. The treatment of erysipelas first involves elevating the affected limb; it is essential to raise the lower limbs above the level of the heart. Subsequently, local wet compresses are applied, commonly using 50% magnesium sulfate. Finally, antibiotic treatment is administered, including intravenous injections of cephalosporins or penicillin-class drugs, along with fluid replenishment and anti-inflammatory treatment.

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Written by Zhu Zhu
Dermatology
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What causes erysipelas?

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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Erysipelas is caused by what?

Erysipelas is an acute infectious skin disease caused by Group B beta-hemolytic streptococcus. The bacteria often invade the body through minor skin injuries, causing localized skin redness, swelling, and pain. Some patients also experience systemic symptoms such as fever and headache. Erysipelas commonly occurs on the face and lower legs. Erysipelas on the face is mostly caused by bacterial invasion due to bad habits such as otitis media, dental caries, and nose picking, while erysipelas on the lower legs is often caused by secondary infection from athlete's foot. People with low immune resistance are more prone to erysipelas, so it is crucial to use sensitive antibiotics in adequate amounts early in the treatment.