The difference between erysipelas and lymphangitis

Written by Zhu Zhu
Dermatology
Updated on March 23, 2025
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Erysipelas and lymphangitis are two different diseases with significant differences. First, erysipelas is a skin disease caused by an infection of streptococcus bacteria. On the other hand, lymphangitis is usually caused by various parasites or microbes, including streptococcus or staphylococcus, and not just streptococcus as in the case of erysipelas. Secondly, the symptoms of erysipelas typically include general body symptoms, accompanied by skin redness and pain. In the case of lymphangitis, there is usually a red streak near a wound, and the color disappears when pressed. Therefore, both the causes and symptoms of erysipelas and lymphangitis are different.

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Written by Zhu Zhu
Dermatology
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How to quickly reduce swelling from erysipelas?

Erysipelas, this skin disease especially prone to cause symptoms such as swelling of both lower limbs. To quickly reduce swelling, it is recommended to first use some anti-inflammatory drugs for wet compresses. Secondly, it is advised to elevate the affected limbs during treatment to help reduce swelling. Finally, avoid eating foods that may cause edema, and abstain from smoking and drinking alcohol during treatment.

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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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Erysipelas Complications and Treatment

Erysipelas is a disease that can lead to several complications. First, erysipelas may cause nephritis, and it is suggested to use medications that treat nephritis. Second, erysipelas can also lead to subcutaneous abscesses. If a subcutaneous abscess occurs, in addition to anti-inflammatory treatments, it is suggested to combine this with incision and drainage. Third, erysipelas may also cause sepsis. If sepsis occurs, symptoms may become systemic, such as fever, chills, and high fever, requiring symptomatic treatment and active management.

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What is the incubation period for erysipelas?

Erysipelas has an incubation period, which is three to five days for most people, though it can be just a few hours for a few individuals. Usually, during the incubation period, which is before the onset of the disease, patients often experience some general symptoms such as fever and headaches. Therefore, if symptoms of the incubation period appear, it is important for the patient and their family to take them seriously, actively provide some treatment and management, and during the treatment period, it is necessary to rest, avoid overexertion, and prevent skin abrasions or injuries.

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Erysipelas anti-infection treatment methods

The most commonly used treatment method for erysipelas infection is penicillin (to be used under the guidance of a doctor). If the patient is not allergic to penicillin, it can be administered intravenously for significant effects. However, it is important to ensure that the treatment duration is sufficient, generally requiring medication for two weeks for better outcomes and to reduce recurrence, given that erysipelas is highly prone to recurrence. If the patient is allergic to penicillin, it is recommended to use alternative antibiotics such as clindamycin (to be used under the guidance of a doctor). Additionally, patients should minimize walking and elevate the affected limb during treatment.