What department should I go to for erysipelas?

Written by Zhu Zhu
Dermatology
Updated on April 28, 2025
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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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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 Cui Lin Jing
Dermatology
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What is erysipelas and is it contagious?

Erysipelas is an inflammation of the skin and lymphatic vessels caused by bacterial infection, commonly occurring in the summer and autumn seasons. It frequently occurs on the face and lower legs, with rhinitis and athlete's foot being the most common triggers. This is due to bacteria infecting the lymphatic vessels through minor wounds. Initially, the lesions are clearly defined, edematous, bright red patches with distinct edges, shiny surface, and increased skin temperature in the affected area. Occasionally, blisters or large blisters may appear, accompanied by spontaneous pain or tenderness and local lymph node enlargement. Erysipelas is not contagious and is quite sensitive to antibiotic treatment. The preferred treatment is penicillin for a duration of two weeks. Since erysipelas is prone to recurrence, it is crucial that the treatment course is sufficient.

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Written by Zhu Zhu
Dermatology
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How long will it take for erysipelas to heal?

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
Dermatology
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Can erysipelas heal on its own?

Erysipelas is a disease caused by bacterial infection, primarily by the erysipelas streptococcus. Generally, erysipelas is unlikely to heal on its own. Once infected with erysipelas, it indicates that our body's resistance is relatively low. It is recommended to eat more foods rich in vitamins and proteins during this time. You should avoid drinking alcohol, smoking, and consuming overly spicy and stimulating foods such as chili peppers, onions, ginger, and garlic. Also, try to avoid foods that might induce further issues, such as seafood, mangoes, etc.

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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.)