大腿和臀部丹毒：39 例非常罕见实体的回顾性多中心分析。
Erysipelas of the thigh and the gluteal region: retrospective multicenter analysis of a very rare entity in 39 patients.
机构信息
Department of Dermatology, University Hospital Zurich, Zurich, Switzerland.
出版信息
Dermatology. 2012;225(3):277-83. doi: 10.1159/000345619. Epub 2012 Dec 19.
BACKGROUND
Erysipelas of the thigh and the gluteal region are rarely described and not well characterized. Therefore we aim to describe the prevalence, clinical characteristics, and risk factors of these erysipelas types.
METHODS
The files of 1,423 patients with erysipelas were analyzed. Data from patients with erysipelas of the thigh or the gluteal region were compared between the two groups and with a control group with erysipelas of the lower leg.
RESULTS
The thigh was exclusively affected in 2.1%, and the gluteal region in 0.6% of erysipelas patients. Gluteal erysipelas had conspicuous irregular borders and sometimes appeared bilaterally. Major risk factors for erysipelas of both sites were previous surgical interventions. Gluteal erysipelas was common in patients with the metabolic syndrome and required a more intense antibiotic therapy.
CONCLUSION
Erysipelas of the thigh and the gluteal region are rare and significantly associated with prior surgical disruption of lymphatic vessels.
背景
大腿和臀部的丹毒很少被描述，也没有很好地描述。因此，我们旨在描述这些丹毒类型的流行率、临床特征和危险因素。
方法
分析了 1423 例丹毒患者的档案。将大腿或臀部丹毒患者的数据与小腿丹毒患者的两组数据进行比较，并与对照组进行比较。
结果
大腿丹毒的发病率为 2.1%，臀部丹毒的发病率为 0.6%。臀部丹毒的边界不规则，有时呈双侧性。两个部位丹毒的主要危险因素是先前的手术干预。患有代谢综合征的患者常见臀部丹毒，需要更强烈的抗生素治疗。
结论
大腿和臀部的丹毒很罕见，与先前手术破坏淋巴管有显著关联。
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