Erysipelas physical examination: Difference between revisions

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==Overview==
==Overview==
The erythematous skin lesion enlarges rapidly and has a sharply demarcated raised edge. It appears as a red, swollen, warm, hardened and painful [[rash]], similar in consistency to an orange peel. More severe infections can result in [[vesicles]], [[blister|bullae]], and [[petechiae]], with possible skin [[necrosis]]. [[Lymph node]]s may be swollen, and [[lymphedema]] may occur. Occasionally, a red streak extending to the lymph node can be seen. The infection may occur on any part of the skin including the face, arms, fingers, legs and toes, but it tends to favor the extremities. Fat tissue is most susceptible to infection, and facial areas typically around the eyes, ears, and cheeks. Repeated infection of the extremities can lead to chronic swelling ([[lymphadenitis]]).
Erysipelas manifests with a characteristic [[rash]], localized on the [[epidermis]]. The patient may also be ill-appearing if there is presence of systemic illness, such as [[fever]], [[chills]], or [[vomiting]].


==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
===Appearance of the Patient===
*The patient may be ill-appearing if there is presence of systemic illness, such as [[fever]], [[chills]], or [[vomiting]].<ref name="pmid24884840">{{cite journal |vauthors=Inghammar M, Rasmussen M, Linder A |title=Recurrent erysipelas--risk factors and clinical presentation |journal=BMC Infect. Dis. |volume=14 |issue= |pages=270 |year=2014 |pmid=24884840 |pmc=4033615 |doi=10.1186</ref>
*The patient may be ill-appearing if there is presence of systemic illness, such as [[fever]], [[chills]], or [[vomiting]].<ref name="pmid24884840">{{cite journal |vauthors=Inghammar M, Rasmussen M, Linder A |title=Recurrent erysipelas--risk factors and clinical presentation |journal=BMC Infect. Dis. |volume=14 |issue= |pages=270 |year=2014 |pmid=24884840 |pmc=4033615 |doi=10.1186</ref>
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==Examples of Physical Examination Findings for Erysipelas==
==Examples of Physical Examination Findings for Erysipelas==
===Extremities===
===Extremities===
<gallery>
<gallery>

Revision as of 19:19, 13 September 2016

Erysipelas Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S. Kiran Singh, M.D. [2]

Overview

Erysipelas manifests with a characteristic rash, localized on the epidermis. The patient may also be ill-appearing if there is presence of systemic illness, such as fever, chills, or vomiting.

Physical Examination

Appearance of the Patient

  • The patient may be ill-appearing if there is presence of systemic illness, such as fever, chills, or vomiting.[1]

Vital signs

  • Fever may be present in Erysipelas patients.

Skin

Erysipelas manifests with a characteristic rash, localized on the epidermis, with the following presentation:[2]

Examples of Physical Examination Findings for Erysipelas

Extremities

Trunk

Face

References

  1. ↑ {{cite journal |vauthors=Inghammar M, Rasmussen M, Linder A |title=Recurrent erysipelas--risk factors and clinical presentation |journal=BMC Infect. Dis. |volume=14 |issue= |pages=270 |year=2014 |pmid=24884840 |pmc=4033615 |doi=10.1186
  2. ↑ Bläckberg A, Trell K, Rasmussen M (2015). "Erysipelas, a large retrospective study of aetiology and clinical presentation". BMC Infect. Dis. 15: 402. doi:10.1186/s12879-015-1134-2. PMC 4590694. PMID 26424182.
  3. ↑ Chong FY, Thirumoorthy T (2008). "Blistering erysipelas: not a rare entity". Singapore Med J. 49 (10): 809–13. PMID 18946616.
  4. ↑ Ferretti JJ, Stevens DL, Fischetti VA, Stevens DL, Bryant AE. PMID 26866211. Missing or empty |title= (help)
  5. ↑ 5.00 5.01 5.02 5.03 5.04 5.05 5.06 5.07 5.08 5.09 5.10 5.11 5.12 5.13 5.14 5.15 5.16 5.17 5.18 5.19 5.20 5.21 5.22 5.23 5.24 5.25 5.26 5.27 5.28 5.29 5.30 5.31 5.32 5.33 5.34 5.35 5.36 "Dermatology Atlas".

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