Erysipelas physical examination: Difference between revisions
Irfan Dotani (talk | contribs) No edit summary |
No edit summary |
||
Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Erysipelas}} | {{Erysipelas}} | ||
{{CMG}};{{AE}} {{KS}} | {{CMG}};{{AE}} {{LRO}} {{KS}} | ||
==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]]). | 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]]). | ||
===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 | |||
===Vital signs=== | |||
*[[Fever]] may be present in Erysipelas patients. | |||
===Skin=== | ===Skin=== | ||
Erysipelas manifests with a characteristic [[rash]], localized on the [[epidermis]], with the following presentation:<ref name="pmid26424182">{{cite journal |vauthors=Bläckberg A, Trell K, Rasmussen M |title=Erysipelas, a large retrospective study of aetiology and clinical presentation |journal=BMC Infect. Dis. |volume=15 |issue= |pages=402 |year=2015 |pmid=26424182 |pmc=4590694 |doi=10.1186/s12879-015-1134-2 |url=}}</ref> | |||
*[[Erythema]] | |||
*[[Edema]] | |||
*Sharp, demarcated edges between [[inflamed]] and normal [[tissue]] | |||
*[[Bullous|Bullae]] | |||
*[[Vesicles]]<ref name="pmid18946616">{{cite journal |vauthors=Chong FY, Thirumoorthy T |title=Blistering erysipelas: not a rare entity |journal=Singapore Med J |volume=49 |issue=10 |pages=809–13 |year=2008 |pmid=18946616 |doi= |url=}}</ref> | |||
*[[Blebs]]<ref name="pmid26866211">{{cite journal |vauthors=Ferretti JJ, Stevens DL, Fischetti VA, Stevens DL, Bryant AE |title= |journal= |volume= |issue= |pages= |year= |pmid=26866211 |doi= |url=}}</ref> | |||
====Extremities==== | ====Extremities==== | ||
<gallery> | <gallery> | ||
Line 92: | Line 107: | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Revision as of 18:56, 13 September 2016
Erysipelas Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Erysipelas physical examination On the Web |
American Roentgen Ray Society Images of Erysipelas physical examination |
Risk calculators and risk factors for Erysipelas physical examination |
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
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, bullae, and petechiae, with possible skin necrosis. Lymph nodes 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).
Appearance of the Patient
- The patient may be ill-appearing if there is presence of systemic illness, such as fever, chills, or vomiting.Closing
</ref>
missing for<ref>
tag - Erythema
- Edema
- Sharp, demarcated edges between inflamed and normal tissue
- Bullae
- Vesicles[1]
- Blebs[2]
Extremities
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
Trunk
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
Face
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
-
Erysipelas. Adapted from Dermatology Atlas.[3]
References
- ↑ Chong FY, Thirumoorthy T (2008). "Blistering erysipelas: not a rare entity". Singapore Med J. 49 (10): 809–13. PMID 18946616.
- ↑ Ferretti JJ, Stevens DL, Fischetti VA, Stevens DL, Bryant AE. PMID 26866211. Missing or empty
|title=
(help) - ↑ 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25 3.26 3.27 3.28 3.29 3.30 3.31 3.32 3.33 3.34 3.35 3.36 "Dermatology Atlas".