There are predisposing factors in this Erysipelas disease that include
Edema or lymphatic obstruction
Saphenous vein grafting happening in lower extremeties
Immunocompromise: that also includes patients who
are alcoholic or diabetic or who
suffer from HIV (human immunodeficiency virus)
Status postradical mastectomy
Bacterial inoculation into some region of skin trauma is initial event developing erysipelas.
Hence, local factors like venous insufficiency, surgical incisions, insect bites, dermatophyte
infections, inflammatory dermatoses, and stasis ulcerations are implicated as the entry
portals. In facial erysipelas, the source of bacteria is usually nasopharynx host as well as
history of latest streptococcal pharyngitis that was reported in nearly one third of situations.
For erysipelas, Preexisting lymphedema is a clear cut risk factor. Recurrent erysipelas
complicating lymphedema from the treatment of breast cancer is documented well. In
patients Lymphoscintigraphy with first-time episode of reduced extremity erysipelas
documented lymphatic impairment in non-affected and affected legs. Hence, subclinical
dysfunction of lymphatic is also a significant risk factor for this erysipelas.