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Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jan 14, 2012.

  1. Egyptian Doctor

    Egyptian Doctor  Moderator Verified Doctor

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    what is your medical diagnosis for this case ?

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  2. jovenedeski

    jovenedeski Well-Known Member

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    ulcus cruris ,trombosis
     


  3. dr.angela

    dr.angela Bronze Member

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    Erysipel
     


  4. Stojan

    Stojan Well-Known Member

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    Syphilis chancre
     


  5. JayJay

    JayJay Well-Known Member

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    Erysipel
     


  6. Neelesh A Dharmadhikari

    Neelesh A Dharmadhikari Famous Member

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    Erysipelas The Acute Streptococcus Bacterial Infection Of The Deep Epidermis With Lymphatic Spread
     


  7. Rocket Queen

    Rocket Queen Super Moderator

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  8. rffara

    rffara Well-Known Member

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    Erisipelas
     


  9. Egyptian Doctor

    Egyptian Doctor  Moderator Verified Doctor

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    Answer : Erysipelas
     


  10. neo_star

    neo_star Moderator

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    Erysipelas versus Cellulitis

    Cellulitis and erysipelas manifest as areas of skin erythema, edema, and warmth. They differ in that erysipelas involves the upper dermis and superficial lymphatics, whereas cellulitis involves the deeper dermis and subcutaneous fat. As a result, erysipelas has more distinctive anatomic features than cellulitis; erysipelas lesions are raised above the level of surrounding skin, and there is a clear line of demarcation between involved and uninvolved tissue. Classic descriptions of erysipelas note "butterfly" involvement of the face. Involvement of the ear (Milian's ear sign) is a distinguishing feature for erysipelas, since this region does not contain deeper dermis tissue. In addition, patients with erysipelas tend to have acute onset of symptoms with systemic manifestations including fever and chills; patients with cellulitis tend to have a more indolent course with development of localized symptoms over a few days' time. Cellulitis may present with or without purulent drainage or exudate.

    ref - Cellulitis and erysipelas

    Necrotizing fasciitis
    This name is given to a distinctive form of cellulitis, in which infection tracks along the fascial planes, causing thrombosis of blood vessels running through the fascia with resulting necrosis of the skin, subcutaneous fat and even muscle.

    ref - Rook's Textbook of Dermatology

    MX - common to all is systemic drugs and surgery comes in focus, the deeper u go.


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    And here's one from my side - people with cellulite are more likely to develop cellulitis
    :idea:
     


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