Can erysipelas be treated with hot compresses?

Written by Zhu Zhu
Dermatology
Updated on April 23, 2025
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After contracting erysipelas, it is generally not recommended to apply heat, as erysipelas is an inflammatory reaction caused by bacterial infection of the skin, and heat application may worsen the condition, especially if done without doctor's guidance. It could lead to a more serious condition. It is advised to visit a dermatologist promptly after getting erysipelas. Treatment may include anti-inflammatory medications. It is also suggested to boost one's immunity and consume a light diet rich in vitamins and proteins to aid in recovery. Additionally, it's important to rest frequently.

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Written by Zhu Zhu
Dermatology
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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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What department should I go to for erysipelas?

Patients with erysipelas can consult the surgical department, because the predisposing factors before the onset of erysipelas may include external otitis, surgical wounds, skin infections, etc. Moreover, after the onset of erysipelas, it may cause persistent hard edema, which necessitates surgical intervention. Secondly, patients can also see the department of infectious diseases, as erysipelas is an infectious disease. Lastly, patients with erysipelas can consult the dermatology department, because erysipelas is an infectious skin disease that belongs to lymphangitis.

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Erysipelas anti-infection treatment methods

The most commonly used treatment method for erysipelas infection is penicillin (to be used under the guidance of a doctor). If the patient is not allergic to penicillin, it can be administered intravenously for significant effects. However, it is important to ensure that the treatment duration is sufficient, generally requiring medication for two weeks for better outcomes and to reduce recurrence, given that erysipelas is highly prone to recurrence. If the patient is allergic to penicillin, it is recommended to use alternative antibiotics such as clindamycin (to be used under the guidance of a doctor). Additionally, patients should minimize walking and elevate the affected limb during treatment.

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Dermatology
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Can erysipelas recur?

Erysipelas is a disease that can recur. Once erysipelas occurs, it should be taken seriously, especially in people with lowered immunity such as the elderly. If not treated promptly or if the condition is not taken seriously, it can lead to sepsis and endanger life. Frequent recurrences are called chronic recurrent erysipelas. Due to the repeated attacks of erysipelas, local secondary lymphedema occurs, and after elephantiasis forms, it becomes very difficult to completely cure. Therefore, patients infected with erysipelas should seek medical attention in a timely manner, follow the doctor's advice, and should not think that skin diseases are not serious and that merely applying ointment will suffice, as this can delay the condition and lead to serious complications.

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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.