Erysipelas can be found in much lower extremities in nearly 70 to 80 percent of the patients;
face has been affected in five to twenty percent of patients.
Patients would look toxic or healthy based on extent of infection. Starting of
with small erythematous path that will progress to fiery-red, rense, shiny, tense, and indurated
Well-demarcated, erythematous plaque of erysipelasWell-demarcated, erythematous plaque
of erysipelas. Courtesy of the US Centers for Disease Control and Prevention
Facial erysipelas having classic fiery-red plafacial erysipelas exhibits classic fiery-red plaque
having raised, and properly demarcated borders.
Classically, lesion exhibits sharply raised border having abrupt demarcation from the healthy
skin as well as with advancing margins. It is in opposition to somewhat deeper involvement
that is seen in cellulitis where lesions are present with less but well-defined borders and
limited edema. Local signs of inflammation like tenderness, edema, and warmth are
universal. Often lymphatic involvement will be manifested by the overlying skin regional and
streaking lymphadenopathy. Erythema isn’t regular with the extensions that would follow
lymphangitis (lymphatic channels).
There are many severe infections that can exhibit bullae and vesicles in addition to petechiae
and frank necrosis as well. With treatment, lesion usually desquanmates as well as can get
resolved with the pigmentary changes that may not or may get resolved over time.