Dangoisse C, Ledoux M
Clinique Dermatologique, Hôpitaux universitaire, Sain-Pierre.
Rev Med Brux. 1991 Sep;12(7):253-6.
Erysipelas is clinically defined as a febrile skin infection with a sudden onset of a red indurated expanding plaque with distinct border. A typical erysipelas presents various degrees of cutaneous erythema, oedema and is characterized by less well-defined margins. The responsible agent can be a beta-hemolytic streptococcus (group A), Staphylococcus aureus and other streptococci (group B, C and D). Common predisposing factors are venous insufficiency, lymphatic obstruction and underlying illnesses. Guidelines for the diagnosis and the management of erysipelas are proposed. The episodes of erysipelas ordinarily respond promptly to penicillin or a beta-lactamase resistant antibiotic. Prevention of recurrent erysipelas by means of an antibiotic prophylaxis is discussed.
丹毒临床上被定义为一种发热性皮肤感染，突然出现边界清晰的红色硬结性扩展斑块。典型的丹毒表现为不同程度的皮肤红斑、水肿，其特征是边界不太清晰。致病原可以是A组β溶血性链球菌、金黄色葡萄球菌和其他链球菌（B、C和D组）。常见的诱发因素是静脉功能不全、淋巴阻塞和基础疾病。本文提出了丹毒的诊断和管理指南。丹毒发作通常对青霉素或耐β-内酰胺酶抗生素迅速起效。文中讨论了通过抗生素预防来预防丹毒复发的方法。
