Differentiating erysipelas from other diseases: Difference between revisions
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==Differentiating Erysipelas from other Diseases== | ==Differentiating Erysipelas from other Diseases== | ||
Erysipelas must be differentiated from other [[inflammatory]] [[dermatological]] conditions that present with [[pain]], [[erythema]], [[edema]], and [[blisters]] of the skin - in conjunction with other systemic conditions such as [[fever]], [[chills]], [[fatigue]], [[headache]], and [[vomiting]].<ref name="pmid24884840">{{cite journal |vauthors=Inghammar M, Rasmussen M, Linder A |title=Recurrent erysipelas--risk factors and clinical presentation |journal=BMC Infect. Dis. |volume=14 |issue= |pages=270 |year=2014 |pmid=24884840 |pmc=4033615 |doi=10.1186/1471-2334-14-270 |url=}}</ref> | |||
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| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Cellulitis]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[ear pain]] or ear [[itching]], [[hearing loss]], and [[suppurative]] discharge from the ear. Differentiated from otitis media in that the ear pain is felt deep inside the ear and usually worsens with movement. Can also present with [[fever]], [[difficulty swallowing]], and [[weakness]] in the face. Treatment requires [[antibiotics]] and possible surgery to remove the dead skin. <ref name="pmid1472406">{{cite journal |vauthors=Hall D |title=Differential diagnosis of otitis media and externa |journal=Br J Gen Pract |volume=42 |issue=364 |pages=494 |year=1992 |pmid=1472406 |pmc=1372285 |doi= |url=}}</ref> | |||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Necrotizing fasciitis]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[blisters]] on the [[Tympanic membrane|tympanum]], leading to [[ear pain]] and potential [[hearing loss]]. Differentiates from otitis media in that [[common cold]] symptoms or [[fever]] are not usually present. Treatment requires [[antibiotics]].<ref name="urlInfectious myringitis: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/001369.htm |title=Infectious myringitis: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref> | |||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Shingles]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[fever]], [[weakness]], [[cough]], [[nasal congestion]], [[dizziness]], and [[post-nasal drip]]. Nasal congestion can result in feelings of "fullness" in the [[middle ear]] that can manifest similarly to otitis media. Sinusitis differentiates from otitis media in that there is usually no [[ear pain]] or [[suppurative]] discharge or tympanic effusion.<ref name="urlSinusitis: MedlinePlus">{{cite web |url=https://www.nlm.nih.gov/medlineplus/sinusitis.html |title=Sinusitis: MedlinePlus |format= |work= |accessdate=}}</ref> | |||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Angioedema]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with severe [[dizziness]], [[tinnitus]], [[hearing loss]], and feelings of "fullness" in the inner ear<ref name="urlMénières Disease | NIDCD">{{cite web |url=https://www.nidcd.nih.gov/health/menieres-disease |title=Ménière's Disease | NIDCD |format= |work= |accessdate=}}</ref>. Usually affects individuals between aged 40 and 60 years old. Caused by buildup of fluid in the [[inner ear]]. Differentiates from otitis media in that there is usually no [[ear pain]] or [[suppurative]] discharge, as well as no [[common cold]] symptoms.<ref name="urlMenieres Disease: MedlinePlus">{{cite web |url=https://www.nlm.nih.gov/medlineplus/menieresdisease.html |title=Meniere's Disease: MedlinePlus |format= |work= |accessdate=}}</ref> | |||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Contact dermatitis]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[fever]], [[weakness]], [[cough]], [[nasal congestion]], [[dizziness]], and [[post-nasal drip]]. Nasal congestion can result in feelings of "fullness" in the [[middle ear]] that can manifest similarly to otitis media. Sinusitis differentiates from otitis media in that there is usually no [[ear pain]] or [[suppurative]] discharge or tympanic effusion.<ref name="urlSinusitis: MedlinePlus">{{cite web |url=https://www.nlm.nih.gov/medlineplus/sinusitis.html |title=Sinusitis: MedlinePlus |format= |work= |accessdate=}}</ref> | |||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Breast cancer]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[fever]], [[weakness]], [[cough]], [[nasal congestion]], [[dizziness]], and [[post-nasal drip]]. Nasal congestion can result in feelings of "fullness" in the [[middle ear]] that can manifest similarly to otitis media. Sinusitis differentiates from otitis media in that there is usually no [[ear pain]] or [[suppurative]] discharge or tympanic effusion.<ref name="urlSinusitis: MedlinePlus">{{cite web |url=https://www.nlm.nih.gov/medlineplus/sinusitis.html |title=Sinusitis: MedlinePlus |format= |work= |accessdate=}}</ref> | |||
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==References== | ==References== | ||
Revision as of 18:51, 9 September 2016
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Erysipelas Microchapters |
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Differentiating erysipelas from other diseases On the Web |
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Risk calculators and risk factors for Differentiating erysipelas from other diseases |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Differentiating Erysipelas from other Diseases
Erysipelas must be differentiated from other inflammatory dermatological conditions that present with pain, erythema, edema, and blisters of the skin - in conjunction with other systemic conditions such as fever, chills, fatigue, headache, and vomiting.[1]
| Disease | Findings |
|---|---|
| Cellulitis | Presents with ear pain or ear itching, hearing loss, and suppurative discharge from the ear. Differentiated from otitis media in that the ear pain is felt deep inside the ear and usually worsens with movement. Can also present with fever, difficulty swallowing, and weakness in the face. Treatment requires antibiotics and possible surgery to remove the dead skin. [2] |
| Necrotizing fasciitis | Presents with blisters on the tympanum, leading to ear pain and potential hearing loss. Differentiates from otitis media in that common cold symptoms or fever are not usually present. Treatment requires antibiotics.[3] |
| Shingles | Presents with fever, weakness, cough, nasal congestion, dizziness, and post-nasal drip. Nasal congestion can result in feelings of "fullness" in the middle ear that can manifest similarly to otitis media. Sinusitis differentiates from otitis media in that there is usually no ear pain or suppurative discharge or tympanic effusion.[4] |
| Angioedema | Presents with severe dizziness, tinnitus, hearing loss, and feelings of "fullness" in the inner ear[5]. Usually affects individuals between aged 40 and 60 years old. Caused by buildup of fluid in the inner ear. Differentiates from otitis media in that there is usually no ear pain or suppurative discharge, as well as no common cold symptoms.[6] |
| Contact dermatitis | Presents with fever, weakness, cough, nasal congestion, dizziness, and post-nasal drip. Nasal congestion can result in feelings of "fullness" in the middle ear that can manifest similarly to otitis media. Sinusitis differentiates from otitis media in that there is usually no ear pain or suppurative discharge or tympanic effusion.[4] |
| Breast cancer | Presents with fever, weakness, cough, nasal congestion, dizziness, and post-nasal drip. Nasal congestion can result in feelings of "fullness" in the middle ear that can manifest similarly to otitis media. Sinusitis differentiates from otitis media in that there is usually no ear pain or suppurative discharge or tympanic effusion.[4] |
References
- ↑ Inghammar M, Rasmussen M, Linder A (2014). "Recurrent erysipelas--risk factors and clinical presentation". BMC Infect. Dis. 14: 270. doi:10.1186/1471-2334-14-270. PMC 4033615. PMID 24884840.
- ↑ Hall D (1992). "Differential diagnosis of otitis media and externa". Br J Gen Pract. 42 (364): 494. PMC 1372285. PMID 1472406.
- ↑ "Infectious myringitis: MedlinePlus Medical Encyclopedia".
- ↑ 4.0 4.1 4.2 "Sinusitis: MedlinePlus".
- ↑ "Ménière's Disease | NIDCD".
- ↑ "Meniere's Disease: MedlinePlus".