Gowda Shreya K, Garg Sonika, Behera Biswanath, Thakur Vishal, Sahu Deepak Kumar
Department of Dermatology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Indian J Dermatol Venereol Leprol. 2025 May-Jun;91(3):346-355. doi: 10.25259/IJDVL_160_2024.
A diffuse erythematous, edematous tender swelling with a distinct border and local rise in temperature suggest a morphological diagnosis of erysipelas-like eruption. While cellulitis and pseudocellulitis have an ill defined tender erythematous plaque. Erysipelas, and cellulitis are not a straightforward diagnosis as multiple cutaneous eruptions mimic erysipelas. It is important to have comprehensive knowledge about the different causes of erysipelas-like eruptions and pseudocellulitis to reach a diagnosis and treat appropriately. Many infectious diseases such as histoplasmosis, leishmaniasis, dermatophytosis, and infusion of chemotherapeutic agents result in erysipelas-like eruptions and pseudocellulitis. Malignancy-related dermatoses such as carcinoma erysipeloides, erysipeloides melanomatosum, and inflammatory dermatoses such as sweet syndrome, well syndrome, and Crohn's disease present as erysipelas-like eruption.
边界清晰、局部温度升高的弥漫性红斑、水肿性压痛性肿胀提示丹毒样皮疹的形态学诊断。而蜂窝织炎和假蜂窝织炎有边界不清的压痛性红斑斑块。丹毒和蜂窝织炎并非简单的诊断,因为多种皮肤疹可模仿丹毒。了解丹毒样皮疹和假蜂窝织炎的不同病因对于做出诊断并进行适当治疗很重要。许多传染病,如组织胞浆菌病、利什曼病、皮肤癣菌病以及化疗药物输注,都会导致丹毒样皮疹和假蜂窝织炎。与恶性肿瘤相关的皮肤病,如类丹毒癌、黑素瘤样类丹毒,以及炎症性皮肤病,如Sweet综合征、Well综合征和克罗恩病,都表现为丹毒样皮疹。