erysipelas skin disease symptoms

Written by Zhu Zhu
Dermatology
Updated on September 18, 2024
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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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Written by Zhu Zhu
Dermatology
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Erysipelas is caused by what?

The fundamental cause of erysipelas is mainly due to a streptococcal infection of the lymphatic vessels, causing acute non-purulent inflammation. Patients with erysipelas often may have underlying conditions such as athlete's foot, ulcers, or other infectious foci. Erysipelas is prone to develop secondary to ulcers, trauma, or some purulent infections, spreading directly from these primary diseases through the skin, mucous membranes, lymphatic channels, or hematogenous invasion.

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Written by Zhu Zhu
Dermatology
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Can you eat duck meat with erysipelas?

Patients with erysipelas can eat duck meat. After contracting erysipelas, it is very important to follow dietary restrictions, but duck meat, being rich in protein, is permissible and is not considered a food that exacerbates the condition. However, it is crucial to avoid smoking, alcohol, and other inflammatory foods during this period. Such foods include beef, lamb, seafood, and spicy or stimulating foods like onions, ginger, garlic, spicy hot pot, and barbecue.

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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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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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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.