Erysipelas history and symptoms: Difference between revisions

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{{Erysipelas}}
{{Erysipelas}}
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==Overview==
Erysipelas patients may experience [[blisters]], [[fever]], [[chills]], [[fatigue]], [[headaches]], [[vomiting]], and [[pain]], [[erythema|redness]], and [[edema|swelling]] of the affected area. A patient's history should be examined for [[obesity]], [[venous insufficiency]], [[lymphedema]], skin [[ulcers]] and occupational/recreational exposures to skin abrasions, and [[breast cancer]] incidence, as well as [[mastectomy]].


==Overview==
==History==
Patients typically develop symptoms including high [[fevers]], [[tremor|shaking]], [[chills]], [[fatigue (physical)|fatigue]], [[headaches]], [[vomiting]] followed by the erythematous skin lesion which enlarges rapidly.
Erysipelas patients may present history of the following:<ref name="pmid10364117">{{cite journal |vauthors=Dupuy A, Benchikhi H, Roujeau JC, Bernard P, Vaillant L, Chosidow O, Sassolas B, Guillaume JC, Grob JJ, Bastuji-Garin S |title=Risk factors for erysipelas of the leg (cellulitis): case-control study |journal=BMJ |volume=318 |issue=7198 |pages=1591–4 |year=1999 |pmid=10364117 |pmc=28138 |doi= |url=}}</ref>
==History and Symptoms==
*Being [[overweight]] or [[obese]]
Patients typically develop symptoms including high [[fevers]], [[tremor|shaking]], [[chills]], [[fatigue (physical)|fatigue]], [[headaches]], [[vomiting]], and general illness within 48 hours of the initial infection. The erythematous skin lesion enlarges rapidly and has a sharply demarcated raised edge. It appears as a red, swollen, warm, hardened and painful [[rash]], similar in consistency to an orange peel. More severe infections can result in [[vesicles]], [[blister|bullae]], and [[petechiae]], with possible skin [[necrosis]]. [[Lymph node]]s may be swollen, and [[lymphedema]] may occur. Occasionally, a red streak extending to the lymph node can be seen.
*[[Venous insufficiency]]
*[[Lymphedema]]
*Incidence of [[breast cancer]] or [[mastectomy]]<ref name="pmid8532002">{{cite journal |vauthors=Bisno AL, Stevens DL |title=Streptococcal infections of skin and soft tissues |journal=N. Engl. J. Med. |volume=334 |issue=4 |pages=240–5 |year=1996 |pmid=8532002 |doi=10.1056/NEJM199601253340407 |url=}}</ref><ref name="pmid7179061">{{cite journal |vauthors=Mozes M, Papa MZ, Karasik A, Reshef A, Adar R |title=The role of infection in post-mastectomy lymphedema |journal=Surg Annu |volume=14 |issue= |pages=73–83 |year=1982 |pmid=7179061 |doi= |url=}}</ref>
*Skin [[ulcers]] or persistent exposure to skin abrasions and wounds due to occupation or recreational activities


The infection may occur on any part of the skin including the face, arms, fingers, legs and toes, but it tends to favor the extremities. Fat tissue is most susceptible to infection, and facial areas typically around the eyes, ears, and cheeks. Repeated infection of the extremities can lead to chronic swelling ([[lymphadenitis]]).
==Symptoms==
Erysipelas patients may experience the following symptoms:<ref name="urlErysipelas: MedlinePlus Medical Encyclopedia">{{cite web |url=https://medlineplus.gov/ency/article/000618.htm |title=Erysipelas: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref><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>
*[[Blisters]]
*[[Fever]]
*[[Chills]]
*[[Fatigue (physical)|Fatigue]]
*[[Headaches]]
*[[Vomiting]]
*[[Erythema|Redness]] and [[edema|swelling]] of the affected area
*[[Pain]] in the affected area


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Disease]]
[[Category:Infectious disease]]


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[[Category:Dermatology]]
[[Category:FinalQCRequired]]
[[Category:Emergency medicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]

Latest revision as of 21:39, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Erysipelas patients may experience blisters, fever, chills, fatigue, headaches, vomiting, and pain, redness, and swelling of the affected area. A patient's history should be examined for obesity, venous insufficiency, lymphedema, skin ulcers and occupational/recreational exposures to skin abrasions, and breast cancer incidence, as well as mastectomy.

History

Erysipelas patients may present history of the following:[1]

Symptoms

Erysipelas patients may experience the following symptoms:[4][5]

References

  1. Dupuy A, Benchikhi H, Roujeau JC, Bernard P, Vaillant L, Chosidow O, Sassolas B, Guillaume JC, Grob JJ, Bastuji-Garin S (1999). "Risk factors for erysipelas of the leg (cellulitis): case-control study". BMJ. 318 (7198): 1591–4. PMC 28138. PMID 10364117.
  2. Bisno AL, Stevens DL (1996). "Streptococcal infections of skin and soft tissues". N. Engl. J. Med. 334 (4): 240–5. doi:10.1056/NEJM199601253340407. PMID 8532002.
  3. Mozes M, Papa MZ, Karasik A, Reshef A, Adar R (1982). "The role of infection in post-mastectomy lymphedema". Surg Annu. 14: 73–83. PMID 7179061.
  4. "Erysipelas: MedlinePlus Medical Encyclopedia".
  5. 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.

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