Monday, January 7, 2013

Erysipelas of the Thigh and the Gluteal Region: Retrospective Multicenter Analysis of a Very Rare Entity in 39 Patients.


Erysipelas of the Thigh and the Gluteal Region: Retrospective Multicenter Analysis of a Very Rare Entity in 39 Patients.


**Editor's note: Not all infection we lymphers get can correctively be labled as cellulitis.  Often it is another form of infection referred to as erysipelas. This brief article is important specifically due to the closing line where it speaks of the disruption of the lymphatic vessels.  We know of course this can lead to secondary lymphedema**

Source

Department of Dermatology, University Hospital Zurich, Zurich, Switzerland.

Abstract


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.


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Classification and External Resources
ICD-10A46.0 - 
Excludes:postpartum or puerperal erysipelas O86.8 )
ICD-9035 -Erysipelas (gangrenous) (infantile) (newborn) (phlegmonous) (suppurative) 035 
  • 035 is a specific code that can be used to specify a diagnosis
  • 035 contains 9 index entries

035 excludes:

  • postpartum or puerperal erysipelas (670)
DiseasesDB4428
MedlinePlus000618
eMedicinederm/129 
MeSHD004886

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