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Related Experiment Videos

[Haemorrhagic cellulitis: three cases].

O Estines1, N Coste, G Perceau

  • 1Service de Dermatologie, CHU Robert Debré, avenue du Général Koenig, 51092 Reims Cedex.

Annales De Dermatologie Et De Venereologie
|July 5, 2003
PubMed
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Haemorrhagic erysipelas, a rare bacterial skin condition, often requires systemic corticosteroids alongside antibiotics for effective treatment. This approach ensures complete resolution of severe skin lesions and associated symptoms.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Bacterial Dermatoses

Background:

  • Haemorrhagic erysipelas is a recently identified clinical condition.
  • This rare bacterial dermatosis presents with ecchymotic areas, bullae, and haemorrhagic crusts.
  • It can be misdiagnosed as necrotizing fasciitis due to its severe presentation.

Observation:

  • Three cases of haemorrhagic erysipelas in patients with varying medical histories are presented.
  • Patients initially showed no improvement with parenteral antibiotics alone.
  • All patients presented with haemorrhagic and bullous erysipelas of the leg.

Findings:

  • Adjuvant systemic corticosteroids (prednisone 0.5 mg/kg/d) for 5-8 days, in addition to antibiotics, led to dramatic and complete resolution.

Related Experiment Videos

  • Skin lesions, pain, and fever disappeared following corticosteroid treatment.
  • Coagulation abnormalities may have contributed to the condition in some cases.

    • Implications:

    • Early recognition and prompt treatment with systemic corticosteroids are crucial for managing haemorrhagic erysipelas.
    • The combination of antibiotics and corticosteroids is the hallmark for successful treatment.
    • Distinguishing haemorrhagic erysipelas from necrotizing fasciitis is critical for appropriate therapeutic intervention.