How long will it take for erysipelas to heal?

Written by Zhu Zhu
Dermatology
Updated on September 05, 2024
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The typical treatment duration for erysipelas is 10 to 14 days. If it is the first outbreak of erysipelas and the treatment is not timely or thorough, or if the treatment duration is insufficient, it is very susceptible to recurrent erysipelas. Treatment for recurrent erysipelas is more challenging, and it may take about three weeks for some people to recover. Especially in elderly patients with swelling in the lower limbs, it is difficult to completely reduce the swelling, which can lead to long-term conditions like elephantiasis. No matter how long any medication is administered, it cannot be completely eliminated, so it is crucial to start treatment gradually and by courses at the onset of the disease. Penicillin is the first choice of medication. For patients allergic to penicillin, cephalosporins or macrolide drugs are the alternatives.

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Written by Zhu Zhu
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erysipelas skin disease symptoms

Erysipelas is caused by hemolytic streptococcus. It commonly occurs on the dorsum of the foot, the lower leg, and the face, and is usually unilateral. The onset of the disease is generally acute, with typical skin symptoms mainly presenting as edematous erythema, with clear boundaries, tense and shiny surfaces. The skin lesions can rapidly expand outward, accompanied by various degrees of systemic toxic symptoms or lymph node enlargement. The condition often peaks within four to five days, and after subsiding, the affected skin areas may have mild pigmentation and desquamation.

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Dermatology
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Is erysipelas contagious?

Erysipelas is an acute inflammatory infection of the skin and lymphatic network, mainly caused by beta-hemolytic streptococcal infection, commonly occurring in the lower limbs and face. Typically, it is not contagious by itself. In terms of treatment, patients should rest in bed, elevate the affected limb, and locally apply 50% magnesium sulfate solution for wet compresses, while using systemic antibacterial medications, such as intravenous penicillin drips. After local and systemic symptoms disappear, medication should continue for three to five days to prevent recurrence.

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Dermatology
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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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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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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.)