Erysipelas (from French rouge – red), or erysipelas, – It is an infectious disease, which is externally manifested as a progressive inflammation of the skin. In the “rating” of the most common infectious pathologies, erysipelas is in 4th place, skipping forward acute respiratory diseases, intestinal infections and viral hepatitis.
Causes of erysipelas
Most often erysipelas is noted in older age groups – in women. In the category of 20-30 years, it is more characteristic of men whose professional activity involves obtaining frequent microtraumas, contamination of the skin and abrupt changes in air temperature (builders, porters, drivers, military, etc.).
Streptococcus pyogenes streptococcus penetrates damaged skin (scratch, crack, comb, abrasion, chafing, prick, rubbing, callus and
Inflammation begins to progress when exposed to certain factors that provoke its development:
- sudden temperature change (overcooling or overheating);
- stress, strong emotional turmoil;
- insolation (tanning);
- injuries, bruises.
In addition, diseases such as diabetes, obesity, alcoholism, thrombophlebitis, trophic ulcers, foot fungus, varicose veins, as well as a number of chronic somatic diseases that reduce overall immunity (especially in old age) often become the backdrop for the development of erysipelas. .
Types and symptoms of erysipelas in the legs
Erysipelas is most often localized on the legs, on the arms, less often it can occur on the face, torso, and genitals. There are also a number of classifications of this inflammation:
1. Depending on the severity of the manifestations:
2. Depending on the frequency of occurrence of the disease:
3. Depending on the prevalence of local lesions of the body:
Onset of the disease accompanied by chills, headache and muscle pain, general weakness, often nausea, vomiting and even anorexia, as well as an increase in body temperature to 39-40 o C. In severe cases, the patient may even rave, hallucinate, lose consciousness and suffer from seizures.
After 12-24 hours, local symptoms are added to the general symptoms: pain and burning, redness and swelling in the affected area, and a feeling of skin tension on it.
Depending on the nature of local changes, erysipelas can be:
- erythematous: the affected area turns red – an erythema rising above the skin with uniform bright color and distinct borders, with edges of irregular shape (notches, flames and
If the patient does not provide timely medical care, erysipelas may be complicated by diseases of the genitourinary, cardiovascular systems, skin ulcers and necrosis, abscess, impaired lymph circulation, which can lead to elephantiasis and disability.
Methods of treating erysipelas on the leg
erysipelas Treatment is medically – with antibiotics (erythromycin, oleandomycin, penicillin – injection; furazolidone, phenoxymethylpenicillin, Biseptolum – po) and via vitamins, biostimulants (levamisole, pentoxy, methyluracil) and drugs that increase the immunity (retabolil, prodigiozan – intramuscularly, methyluracil, pentoxyl – oral).
If necessary, the doctor may also prescribe drugs that reduce the permeability of small blood vessels, and local remedies (erythromycin ointment, enteroseptol in the form of powders or ointment from crushed tablets, furatsilina solution).
Cryotherapy and physiotherapy are also shown to a patient with erysipelas: local ultraviolet irradiation (UVR), exposure to high frequency current (UHF), exposure to weak discharges of electric current, laser therapy in the infrared light range.
In the mild form of the course of the disease there is a sufficiently ambulatory treatment, with moderate and severe, inpatient treatment is necessary.
Thus, the treatment of erysipelas does not cause any particular difficulties if the patient requested medical assistance on time, thereby preventing the development of a severe form of the disease and its possible complications.