Erosio interdigitalis blastomycetica

Erysipelas

► Candidiasis

216 Erysipeloid

Ashy Dermatosis
Erysipelas. Erythematous, edematous plaque on the central face

Definition

Skin infection involving the dermis and local lymphatics, usually caused by group A beta-hemolytic streptococci

Pathogenesis

Bacterial infection, typically caused by group A Streptococcus

Clinical manifestation

Abrupt onset of illness with fever and chills, muscle and joint pain, nausea, headache; skin change begins as small erythematous patch and progresses to red, indurated, shiny plaque; raised, sharply demarcated, advancing margins, with skin warmth, edema, and tenderness; lymphatic involvement with overlying skin streaking and regional lymphadenopathy

Differential diagnosis

Contact dermatitis; seborrheic dermatitis; lupus erythematosus; angioedema; herpes zoster; erysipeloid; necrotizing fasciitis

Therapy

Penicillin G procaine; Penicillin VK; dicola-cillin if staphyloccocal infection present; cephalexin if patient is allergic to penicillin

References

Chartier C, Grosshans E (1996) Erysipelas: an update. International Journal of Dermatology 35(n):779-781

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