Erysipelas

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Written by Zhu Zhu
Dermatology
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What causes erysipelas to blister?

Erysipelas symptoms with skin peeling are likely due to pathogens entering the skin, causing complications such as eczema. Moreover, because eczema tends to itch, patients often scratch, causing skin damage. Skin damage and injuries might lead to symptoms of skin peeling. Therefore, it is crucial to actively cooperate with treatment after contracting erysipelas and not to delay the condition.

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Written by Zhu Zhu
Dermatology
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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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Written by Liu Jing
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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Written by Zhu Zhu
Dermatology
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How many days does it take for penicillin to take effect on erysipelas?

Erysipelas is treated with penicillin, generally requiring about ten days to take effect, and medication should not be discontinued even after ten days. This is because this period is just when the drug starts to work and relieve the disease; it still requires about another seven days of usage to completely fight the bacteria and avoid the possibility of recurrence. Erysipelas has a high recurrence rate, so it is crucial to ensure thorough treatment.

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Written by Zhu Zhu
Dermatology
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What Chinese medicine is used for erysipelas?

Erysipelas is mostly caused by bacterial infection of the lymphatic vessels. In terms of Traditional Chinese Medicine, treatment can involve the use of herbs that disperse wind, clear heat, and detoxify; herbs that clear heat, promote diuresis, and detoxify; and herbs that cool the blood, detoxify, clear the heart, and open the orifices. During the treatment of erysipelas, in addition to Chinese medicine, it is suggested to combine some Western medical treatments, which can lead to faster improvement. (Specific medications should be used under the guidance of a physician.)

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Written by Zhu Zhu
Dermatology
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What medicine is good to take when erysipelas is almost healed?

It is still necessary to continue taking anti-inflammatory medication even if erysipelas is nearly healed, as erysipelas is an inflammatory reaction caused by bacterial infection of the lymphatic vessels. If treated with anti-inflammatory medication, remember that it's important to complete the full course of treatment. If you stop taking some of the anti-inflammatory medication because the erysipelas seems nearly healed and the full course of treatment is not completed, there's a possibility that the erysipelas may recur, which would be counterproductive. Therefore, even if the erysipelas is nearly healed, it is still necessary to take anti-inflammatory medication. Additionally, apart from taking medication, it is important to eat foods rich in protein and vitamins to aid recovery.

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Written by Zhu Zhu
Dermatology
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What should I do if erysipelas recurs?

The likelihood of erysipelas relapse is very high. If erysipelas recurs, it indicates that there is another bacterial infection and the body's immune system is weak. Therefore, it is recommended to treat with anti-inflammatory drugs, which can be administered either by intravenous infusion or orally. At the same time, it is essential to enhance one's immunity. During the period of erysipelas illness, it is important to get plenty of rest, drink lots of water, and eat nutritious foods.

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Written by Zhu Zhu
Dermatology
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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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Written by Zhu Zhu
Dermatology
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Which is better for erysipelas, cephalosporin or penicillin?

Erysipelas is a relatively common inflammatory skin disease. After contracting erysipelas, penicillin is primarily used for treatment, with cephalosporins as a secondary option. Especially in severe cases, it is crucial to promptly visit the dermatology department of a hospital. Patients may receive intravenous anti-inflammatory medications. Dietarily, it is important to avoid overly stimulating and spicy foods, as well as foods that may cause inflammation. Rest is also important.

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Written by Zhu Zhu
Dermatology
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What ointment is used for erysipelas?

Erysipelas is a common skin disease caused by an infection of hemolytic streptococcus, primarily infecting the lymphatic vessels. To treat erysipelas, it is recommended to use topical antibiotic ointments. It is important to maintain personal hygiene, avoid spicy and irritating foods, abstain from alcohol and smoking, get plenty of rest, avoid staying up late, and consume more soy products, vegetables, and fruits.