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Old 08-13-2012
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Skin Erysipelas versus Cellulitis

Can anyone tell me how to differentiate between the two.
Does erysipelas always occur only on the face ?
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Old 08-13-2012
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erysipelas are frequently preceded by a history of flu like symptoms....and no...the rash can appear anywhere , whereas in cellulitis there is usually a history of contact usually with farm animals like pigs and fish.....

regarding treatment there is not really any need to get confused because u can treat both with penycillin..

look for those key words in question it will be much easier for u !
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Old 08-13-2012
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Impetigo – infection of epidermis (Listen to Conrad Fischer Kaplan Class)

Weepy, crusty, ooz,y drainy, honey coloured leasion (Conrad Fischer)


They are two type
Bullous and Non bullous.

Non bullous – honey colored , crusted plaque

Bullous - Infants and young children.

Rx –Topical not resaponding – Oral.


Erysipelas. – Deepar layer inf.(Dermis and Epidermis)

Bright , red hot and warm(Conrad Fischer)

Tender superficial blister and sharp border - Have reddish streaks of lymphatics.
May have systemic symptoms

–Rx Parenteral antibiotics
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Old 08-13-2012
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Quote:
Originally Posted by cingulate.gyrus View Post
Impetigo – infection of epidermis (Listen to Conrad Fischer Kaplan Class)

Weepy, crusty, ooz,y drainy, honey coloured leasion (Conrad Fischer)


They are two type
Bullous and Non bullous.

Non bullous – honey colored , crusted plaque

Bullous - Infants and young children.

Rx –Topical not resaponding – Oral.


Erysipelas. – Deepar layer inf.(Dermis and Epidermis)

Bright , red hot and warm(Conrad Fischer)

Tender superficial blister and sharp border - Have reddish streaks of lymphatics. **Was missing this one. thanks.
May have systemic symptoms

–Rx Parenteral antibiotics
i have something to add here.
erysipelas is sharply demarcated.
also in erysipelas we can give oral antibiotics. isnt ?
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Old 08-13-2012
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Quote:
Originally Posted by tyagee View Post
i have something to add here.
erysipelas is sharply demarcated.
also in erysipelas we can give oral antibiotics. isnt ?
Yes..
Sorry I meant systemic antibiotics...oral/parenteral for erysipelas.

In case of impetigo as it is confined to epidermis only topical antibiotics is necessary --- Mupirocin, Bacitracin...
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