lymphatics Typical skin rash on legs toes face and fingers due to acute infection by beta haemolytic streptococcus pyogenes presenting as raised well demarcated skin rash More superficial than ID: 931647
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Slide1
ERYSIPELAS
Slide2Erysipelas is an acute spreading inflammation of the upper dermis and superficial
lymphatics
.
Typical skin rash on legs, toes, face and fingers due to acute infection by beta
haemolytic
streptococcus
pyogenes
presenting as raised well demarcated skin rash.
More superficial than
cellulitis
.
Infection occurs through minor trauma.
Slide3Cutaneous
lymphangitis
with development of rose pink rash with
cutaneous
lymphatic
oedema
.
SITES: orbit, face, ear lobule, hands, scrotum, umbilicus in infant,
decubitus
ulcer of lower limb.
Slide4FEATURES:
Toxaemia
.
Rash- spreading, blanches on pressure, raised, sharp margins.
Discharge is serous. Millian’s ear sign Tender, regional lymph nodes palpable.
Slide5DIFFERENTIAL DIAGNOSIS
:
Herpes zoster
Angioneurotic
oedema
Contact
dermititis
Slide6COMPLICATION:
Septicaemia
Abscess
Pneumonia
Meningitis
Lymphoedema
of face, eyelid or limbs
Glomerulonephritis
Slide7TREATMENT:
Antibiotics like
penicillins
,
clindamycin
, erythromycin, roxithromycin Recurrent erysipelas may require injection benzathine penicillin monthly for 2 years.