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Erysipelas of the thigh and the gluteal region: retrospective multicenter analysis of a very rare entity in 39 patients


Glatz, Martin; Degen, Daniela; French, Lars E; Aberer, Werner; Müllegger, Robert R (2012). Erysipelas of the thigh and the gluteal region: retrospective multicenter analysis of a very rare entity in 39 patients. Dermatology, 225(3):277-283.

Abstract

BACKGROUND: Erysipelas of the thigh and the gluteal region are rarely described and not well characterized. Therefore we aim to describe the prevalence, clinical characteristics, and risk factors of these erysipelas types.
METHODS: The files of 1,423 patients with erysipelas were analyzed. Data from patients with erysipelas of the thigh or the gluteal region were compared between the two groups and with a control group with erysipelas of the lower leg.
RESULTS: The thigh was exclusively affected in 2.1%, and the gluteal region in 0.6% of erysipelas patients. Gluteal erysipelas had conspicuous irregular borders and sometimes appeared bilaterally. Major risk factors for erysipelas of both sites were previous surgical interventions. Gluteal erysipelas was common in patients with the metabolic syndrome and required a more intense antibiotic therapy.
CONCLUSION: Erysipelas of the thigh and the gluteal region are rare and significantly associated with prior surgical disruption of lymphatic vessels.

BACKGROUND: Erysipelas of the thigh and the gluteal region are rarely described and not well characterized. Therefore we aim to describe the prevalence, clinical characteristics, and risk factors of these erysipelas types.
METHODS: The files of 1,423 patients with erysipelas were analyzed. Data from patients with erysipelas of the thigh or the gluteal region were compared between the two groups and with a control group with erysipelas of the lower leg.
RESULTS: The thigh was exclusively affected in 2.1%, and the gluteal region in 0.6% of erysipelas patients. Gluteal erysipelas had conspicuous irregular borders and sometimes appeared bilaterally. Major risk factors for erysipelas of both sites were previous surgical interventions. Gluteal erysipelas was common in patients with the metabolic syndrome and required a more intense antibiotic therapy.
CONCLUSION: Erysipelas of the thigh and the gluteal region are rare and significantly associated with prior surgical disruption of lymphatic vessels.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Dermatology Clinic
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2012
Deposited On:14 Jan 2014 08:56
Last Modified:16 Jun 2016 14:26
Publisher:Karger
ISSN:1018-8665
Publisher DOI:https://doi.org/10.1159/000345619
PubMed ID:23257902
Permanent URL: https://doi.org/10.5167/uzh-87704

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