Erysipelas
Symptoms
Erysipelas is characterized by a bright red, raised, and sharply demarcated plaque, usually on the face or legs. Skin feels warm and tender. Fever, chills, and malaise commonly precede or accompany the rash. Inflammation of lymphatic vessels and swollen lymph nodes are frequent. Recurrence often affects the same site.
Cause
Group A β‑hemolytic streptococci infect the superficial dermal lymphatics. Minor skin trauma, fungal toe infections, or ulcers provide entry points. Lymphatic obstruction or chronic swelling predisposes to infection. Immunocompromised or elderly patients are at higher risk. Bacterial toxins contribute to the intense inflammatory response.
Treatment
High‑dose oral or intravenous penicillin or related antibiotics are first‑line. Limb elevation and cool compresses relieve discomfort. Prophylactic antibiotics may be considered for recurrent episodes. Treating underlying tinea pedis and improving skin care reduce recurrence risk. Early intervention prevents systemic complications.
Dr. Beth Schulz-Butulis
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