Physical examination

Physical examination

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

Erysipelas is

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.