Cellulite
Erysipelas and cellulitis are deeper infections of the skin usually
caused by streptococcus pyogenes infection. Generalised fever and
malaise always precede the development of skin lesions. Erythematous,
painful, oedematous patches appear on the skin. The affected skin is hot
to touch, shiny in appearance and frequently has a ‘stepped’ edge or
border. Erysipelas is a severe acute infection which commonly affects
the face and can be accompanied by marked oedema of the peri-orbital
region.Cellulitis can occur anywhere in the deeper layers of the skin.
Common sites include lower limb and face. The portal of entry for the
streptococcus is usually due to a breakdown in skin integrity. A
superficial cut, insect bite or athletes foot can be an entry site for
the organism. Heredity and hormonal changes play a role in the creation
of this localized change to the smooth skin surface of the thighs and
buttocks.
Cellulite Treatment : Erysipelas and cellulitis are always treated with systemic antibiotic therapy . Cellulitis requires long-term systemic antibiotic therapy (minimum duration 1 month).
