Erysipelas: An Update

Chartier, Christian; Grosshans, É

doi:10.1111/j.1365-4362.1996.tb02971.x

Cited by 50 publications

(47 citation statements)

References 8 publications

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“…Diabetes mellitus was present in 4.6–15% of the previously described erysipelas cases [4,5,6,7,8]as a suspected risk factor; however, the French and Tunisian case-control studies excluded a strong association between either diabetes or alcoholism and erysipelas of the leg.…”

Section: Discussionmentioning

confidence: 92%

“…Potential local risk factors described in the medical literature were edema, lymphedema, cutaneous barrier rupture, superficial or deep venous insufficiency, history of leg surgery, radiation therapy (inferior limb or pelvis) and leg neuropathy. Potential general risk factors included being overweight, having diabetes mellitus, smoking and alcoholism [4,5,6,7,8,9]. Recently, risk factors were evaluated in a case-control study conducted in France [10].…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Erysipelas of the Leg in Tunisia: A Multicenter Case-Control Study

et al. 2006

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Background: Risk factors for erysipelas (cellulitis) were rarely evaluated in controlled studies. Regional variations of these risk factors have never be assessed. Objective: To assess risk factors for erysipelas of the leg in Tunisia. Subjects and Methods: Case-control study in seven hospital centers in Tunisia. Cases were 114 consecutive patients with erysipelas of the leg [sudden onset (<24 h) of a well-demarcated dermo-hypodermatitis with fever or chills]. Two controls were matched to each case for age, sex, and hospital (n = 208). Main outcome measures are local and general suspected risk factors for erysipelas of the leg. Results: In multivariate analysis, disruption of the cutaneous barrier (i.e. traumatic wound, toe-web intertrigo, excoriated leg dermatosis or plantar squamous lesions) and leg edema were independently associated with erysipelas of the leg, with respective odds ratios of 13.6 (95% confidence interval: 6.0–31) and 7.0 (1.3–38). No association was observed with diabetes, alcoholism, or smoking. Conclusions: We confirmed the major role of local risk factors and the minor role of general risk factors for erysipelas of the leg, in a setting different than the one previously studied. Detecting and treating toe-web intertrigo and traumatic wounds should be considered in the prevention of erysipelas of the leg.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Risk Factors for Erysipelas of the Leg in Tunisia: A Multicenter Case-Control Study

et al. 2006

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“…There are only a few recent epidemiological studies [1,2,3] and those were all undertaken in hospital settings despite the fact that this disease is mostly treated in primary care. …”

Section: Objectivementioning

confidence: 99%

“…Two French studies [3, 10] described a progressive increase in the yearly number of hospitalizations for erysipelas between 1978 and 1991 and between 1959 and 1995. …”

Section: Objectivementioning

confidence: 99%

Epidemiology and Comorbidity of Erysipelas in Primary Care

et al. 2007

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Background/Aims: Most studies on the epidemiology of erysipelas are done in hospitals, resulting in patient selection. The aim of this study is to determine epidemiological characteristics and comorbidity of erysipelas based on primary care data. Methods: Incidence rate study and nested case-control study. A database containing data from 52 general practices in Flanders, Belgium, with morbidity data on 160,000 different patients in the period 1994–2004. Excess comorbidity was determined in patients with erysipelas in 2004. Results: In the period 1994–2004, the age-standardized incidence of erysipelas increased significantly from 1.88 (95% confidence interval, CI, 1.62–2.13) per 1,000 patients to 2.49 (95% CI 2.24–2.74). Of patients with erysipelas, 16% had one or more recurrences. Local factors such as dermatophytosis, chronic ulcer of the skin, varicose veins of the leg and phlebitis and general disorders such as obesity, non-insulin-dependent diabetes and heart failure increased the risk of erysipelas. Conclusion: The incidence of erysipelas increased from 1994 to 2004. More attention should be paid to local factors such as dermatophytosis to prevent erysipelas.

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“…It occurs in 10-100 cases per 100,000 people per year [1] . This incidence is increasing despite the control of streptococcal infections [2] : 2 French studies [3,4] described a progressive increase in the yearly number of hospitalizations for erysipelas between 1978 and 1991 and between 1959 and 1995. A recent study [5] showed that the yearly age-standardized incidence of erysipelas increased from 1.88 per 1,000 patients in the years 1994-1995 to 2.49 in [2003][2004] in primary care in Flanders and the northern part of Belgium.…”

Section: Incidence Of Deep Venous Thrombosis Inmentioning

confidence: 99%

Incidence of Deep Venous Thrombosis in Patients with Erysipelas of the Leg: Prospective Study of 30 Cases in an Emergency Department

Zaghdoudi

Rezgui²,

Zouaoui³

et al. 2007

Pathophysiol Haemos Thromb

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The treatment of lower limb erysipelas is based on anti-streptococcal antibiotherapy. The indication of adjuvant anticoagulant therapy is not clear because of the lack of data about the incidence of deep venous thrombosis (DVT) in these patients. We performed a prospective study using a colour Doppler vein exploration combined with ultrasonography within the first 48 h, with evaluation of clinical probability of DVT according to the Wells score to assess the incidence of DVT in patients with erysipelas of the lower limb. Of 30 patients studied, 3 DVT were diagnosed: 2 distal DVT (posterior tibial vein) and 1 proximal DVT (superficial femoral vein) in patients having a clinical score ≥3. Pulmonary embolism was diagnosed in 2 cases. The incidence of DVTin our study was 10%.DVT should be considered in patients with erysipelas of the lower limb having a high pretest clinical probability.

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Erysipelas: An Update

Cited by 50 publications

References 8 publications

Risk Factors for Erysipelas of the Leg in Tunisia: A Multicenter Case-Control Study

Risk Factors for Erysipelas of the Leg in Tunisia: A Multicenter Case-Control Study

Epidemiology and Comorbidity of Erysipelas in Primary Care

Incidence of Deep Venous Thrombosis in Patients with Erysipelas of the Leg: Prospective Study of 30 Cases in an Emergency Department

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