Erysipelas is a disease.

Written by Zhu Zhu
Dermatology
Updated on September 22, 2024
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Erysipelas is a type of skin inflammation infection, primarily involving the superficial lymphatic vessels. There are several triggers for erysipelas, such as trauma, surgery, etc. Generally, erysipelas tends to show symptoms such as fever, chills, nausea, etc. After contracting erysipelas, erythema often appears within a day, but the boundaries of the erythema are quite clear. Upon examination, an increase in skin temperature and skin tension can be observed. Erysipelas primarily occurs on the face or lower legs.

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Written by Zhu Zhu
Dermatology
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What foods should be avoided with erysipelas?

There are many foods that should be avoided in the case of erysipelas. Firstly, it is advised to avoid spicy and stimulating foods; for example, smoking and alcohol must be refrained from, as well as spicy peppers, garlic, onions, and ginger, which are all considered stimulating and should be avoided. Secondly, after contracting erysipelas, one should avoid certain aggravating foods such as shrimp and sea fish. It is better to eat more foods that help enhance the immune system, and those rich in protein and vitamins.

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Written by Zhu Zhu
Dermatology
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Can erysipelas patients be active and move around?

Whether someone with erysipelas can engage in physical activity depends on the severity and location of the erysipelas. If the erysipelas is on the leg and the condition is severe, it is advisable to rest in bed and avoid standing or moving around. However, if the erysipelas is mild and appears on the face, light activity is permissible. Once diagnosed with erysipelas, it is important to rest, improve nutrition, and actively treat the underlying condition to facilitate recovery. The precautions include the following: rest in bed to avoid fatigue and exposure to cold; and while treating the affected area, consider supportive physical therapies such as ultraviolet light or infrared radiation to accelerate the healing of the skin.

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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 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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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.