BACKGROUND: Several systemic and regional risk factors have been described for erysipelas. However, those predisposing for recurrent episodes are not well defined. MATERIALS AND METHODS: We performed a retrospective analysis of 574 patients hospitalized in our institution during a 3 year period. The analysis included demographic, epidemiologic, and medical chart review data with special attention to background disorders. The patients with single and recurrent episodes of erysipelas were compared. RESULTS: The recurrent cases occurred mainly in the lower limb with several risk factors that were statistically more common than in the single episode group including overweight, venous insufficiency, lymphedema, tinea pedis, and previous regional surgical intervention or trauma. CONCLUSIONS: Patients with erysipelas, especially when it involves the lower limb, should be instructed to reduce weight, control venous insufficiency and/or lymphedema and to emphasize prevention and treatment of tinea pedis. The role of prophylactic antibiotics requires further study.
BACKGROUND: Several systemic and regional risk factors have been described for erysipelas. However, those predisposing for recurrent episodes are not well defined. MATERIALS AND METHODS: We performed a retrospective analysis of 574 patients hospitalized in our institution during a 3 year period. The analysis included demographic, epidemiologic, and medical chart review data with special attention to background disorders. The patients with single and recurrent episodes of erysipelas were compared. RESULTS: The recurrent cases occurred mainly in the lower limb with several risk factors that were statistically more common than in the single episode group including overweight, venous insufficiency, lymphedema, tinea pedis, and previous regional surgical intervention or trauma. CONCLUSIONS:Patients with erysipelas, especially when it involves the lower limb, should be instructed to reduce weight, control venous insufficiency and/or lymphedema and to emphasize prevention and treatment of tinea pedis. The role of prophylactic antibiotics requires further study.
Authors: Katariina Hannula-Jouppi; Satu Massinen; Tuula Siljander; Siru Mäkelä; Katja Kivinen; Rasko Leinonen; Hong Jiao; Päivi Aitos; Matti Karppelin; Jaana Vuopio; Jaana Syrjänen; Juha Kere Journal: PLoS One Date: 2013-02-20 Impact factor: 3.240
Authors: John Boyages; Katrina Kastanias; Louise A Koelmeyer; Caleb J Winch; Thomas C Lam; Kerry A Sherman; David Alex Munnoch; Håkan Brorson; Quan D Ngo; Asha Heydon-White; John S Magnussen; Helen Mackie Journal: Ann Surg Oncol Date: 2015-06-30 Impact factor: 5.344