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PubMed · 6846108

Erysipelas.

Abstract

Erysipelas is a superficial cellulitis that affects the skin and subcutaneous tissues. There is also prominent lymphatic involvement. Group A streptococci are the usual cause of this painful infection, but the responsible organisms cannot always be cultured from the fiery red, edematous, sometimes vesicular rash. A fulminating case developed in the left leg of a man whose veins had been harvested four months earlier for coronary artery bypass surgery.

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J H Haynes, J C Martin, F T Kurzweg. 1983. Erysipelas.. https://pubmed.ncbi.nlm.nih.gov/6846108/

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[How I explore ... an enlarged red leg].

A consultation motivated by an enlarged red leg is a common situation. The causes are multiple and the diagnosis primarily relies on case history and physical examination distinguishing inflammatory red legs from erythemato-violaceous presentations. Additional diagnostic search cannot be described as a single standardized procedure. Each disease calls for specific and different paraclinical investigations. The most frequent cause is erysipelas or a thrombophlebitis. Some vascular malformations and some functional circulatory disturbances are also possible, as well as sequelae of panniculitis or borreliosis.

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