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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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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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 Zhu Zhu
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How is erysipelas treated?

Erysipelas is mainly caused by a bacterial infection of the lymphatic system, resulting in lymphangitis, primarily affecting the superficial lymphatics of the skin's dermis. The common pathogen is Group A hemolytic streptococcus. For erysipelas, proactive anti-infection treatment is necessary, typically opting for penicillin-class antibiotics. For patients allergic to penicillin, other types of antibiotics such as cephalosporins or macrolide antibiotics can be considered. If there is significant local swelling and pain, magnesium sulfate can be used for local wet compresses to reduce swelling and alleviate pain. Additionally, traditional Chinese medicine treatments can be considered, such as taking oral medications that clear heat and detoxify.

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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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What vegetables are good to eat for erysipelas?

What to eat after erysipelas depends on the nature of the disease itself. Erysipelas is a skin disease caused by bacterial infection. Therefore, it is beneficial to eat more foods that clear heat and detoxify after contracting erysipelas, such as winter melon, pumpkin, bitter melon, leafy greens, and mung beans. Additionally, it is also good to consume more vegetables and fruits, such as watermelon and bananas, which are rich in vitamins.