CHARACTERISTIC OF CLINIC AND DIAGNOSTICS OF ERYSIPELAS. REVIEW
Erysipelas is one of the first places on the prevalence of infectious disease after acute respiratory and intestinal infections, viral hepatitis. Currently, in most cases erysipelas is caused by beta-hemolytic group A Streptococcus bacterium, but in some cases could be due to co-infection with Staph...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | Russian |
Published: |
SINAPS LLC
2017-09-01
|
Series: | Архивъ внутренней медицины |
Subjects: | |
Online Access: | https://www.medarhive.ru/jour/article/view/694 |
_version_ | 1797883752395833344 |
---|---|
author | N. F. Plavunov V. A. Kadyshev T. Ya. Chernobrovkina L. N. Proskurina |
author_facet | N. F. Plavunov V. A. Kadyshev T. Ya. Chernobrovkina L. N. Proskurina |
author_sort | N. F. Plavunov |
collection | DOAJ |
description | Erysipelas is one of the first places on the prevalence of infectious disease after acute respiratory and intestinal infections, viral hepatitis. Currently, in most cases erysipelas is caused by beta-hemolytic group A Streptococcus bacterium, but in some cases could be due to co-infection with Staphylococcus aureus. The pathogenesis of erysipelas is characterized by impaired tissue immunity, cellular and humoral immunity deficiency, hypersensivity to hemolytic streptococci group A (Lansfeld). Chronic recurrent erysipelas refers to endogenous infection caused by intradermal and intra-macrophage maintaining L-forms of Streptococcus, and biological damage caused by excess production of cytokines by T-lymphocytes and mononuclear cells. The disease is characterized by increased cases with primary and severe hemorrhagic forms (over 60%), a tendency to develop recurrent erysipelas (30 to 40%), slow regenerative process in the focus of inflammation, the multiplicity of the differential diagnosis. Risk factors of the erysipelas are the disruption of the skin barrier, fungal skin infections, emotional stress, body hypothermia or overheating. Women suffer from erysipelas more often than men. Adults over age 40 years and older are more likely to develop erysipelas in more than 60% of cases. Erysipelas is characterized by seasonality- rise in the incidence observed in spring and autumn than other streptococcal infections. Depending on the lack of treatment efficacy in resolving symptoms of erysipelas, impaired prevention of disease recurrence, recommended treatment by scientists involves antibiotics with immunomodulation therapy and laser therapy. |
first_indexed | 2024-04-10T03:56:47Z |
format | Article |
id | doaj.art-010e99de622944cbacfa577a9c810fdb |
institution | Directory Open Access Journal |
issn | 2226-6704 2411-6564 |
language | Russian |
last_indexed | 2024-04-10T03:56:47Z |
publishDate | 2017-09-01 |
publisher | SINAPS LLC |
record_format | Article |
series | Архивъ внутренней медицины |
spelling | doaj.art-010e99de622944cbacfa577a9c810fdb2023-03-13T07:12:08ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642017-09-017532733910.20514/2226-6704-2017-7-5-327-339629CHARACTERISTIC OF CLINIC AND DIAGNOSTICS OF ERYSIPELAS. REVIEWN. F. Plavunov0V. A. Kadyshev1T. Ya. Chernobrovkina2L. N. Proskurina3ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова»; ГБУ «Станция скорой и неотложной медицинской помощи им. А.С. Пучкова»ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова»; ГБУ «Станция скорой и неотложной медицинской помощи им. А.С. Пучкова»ФГБОУ ВО «Российский Национальный Исследовательский Медицинский Университет им. Н.И. Пирогова»ГБУ «Станция скорой и неотложной медицинской помощи им. А.С. Пучкова»Erysipelas is one of the first places on the prevalence of infectious disease after acute respiratory and intestinal infections, viral hepatitis. Currently, in most cases erysipelas is caused by beta-hemolytic group A Streptococcus bacterium, but in some cases could be due to co-infection with Staphylococcus aureus. The pathogenesis of erysipelas is characterized by impaired tissue immunity, cellular and humoral immunity deficiency, hypersensivity to hemolytic streptococci group A (Lansfeld). Chronic recurrent erysipelas refers to endogenous infection caused by intradermal and intra-macrophage maintaining L-forms of Streptococcus, and biological damage caused by excess production of cytokines by T-lymphocytes and mononuclear cells. The disease is characterized by increased cases with primary and severe hemorrhagic forms (over 60%), a tendency to develop recurrent erysipelas (30 to 40%), slow regenerative process in the focus of inflammation, the multiplicity of the differential diagnosis. Risk factors of the erysipelas are the disruption of the skin barrier, fungal skin infections, emotional stress, body hypothermia or overheating. Women suffer from erysipelas more often than men. Adults over age 40 years and older are more likely to develop erysipelas in more than 60% of cases. Erysipelas is characterized by seasonality- rise in the incidence observed in spring and autumn than other streptococcal infections. Depending on the lack of treatment efficacy in resolving symptoms of erysipelas, impaired prevention of disease recurrence, recommended treatment by scientists involves antibiotics with immunomodulation therapy and laser therapy.https://www.medarhive.ru/jour/article/view/694рожабета-гемолитический стрептококк группы адифференциальная диагностика рожиэпидемиология и клинические формы рожикомплексная терапия рожи |
spellingShingle | N. F. Plavunov V. A. Kadyshev T. Ya. Chernobrovkina L. N. Proskurina CHARACTERISTIC OF CLINIC AND DIAGNOSTICS OF ERYSIPELAS. REVIEW Архивъ внутренней медицины рожа бета-гемолитический стрептококк группы а дифференциальная диагностика рожи эпидемиология и клинические формы рожи комплексная терапия рожи |
title | CHARACTERISTIC OF CLINIC AND DIAGNOSTICS OF ERYSIPELAS. REVIEW |
title_full | CHARACTERISTIC OF CLINIC AND DIAGNOSTICS OF ERYSIPELAS. REVIEW |
title_fullStr | CHARACTERISTIC OF CLINIC AND DIAGNOSTICS OF ERYSIPELAS. REVIEW |
title_full_unstemmed | CHARACTERISTIC OF CLINIC AND DIAGNOSTICS OF ERYSIPELAS. REVIEW |
title_short | CHARACTERISTIC OF CLINIC AND DIAGNOSTICS OF ERYSIPELAS. REVIEW |
title_sort | characteristic of clinic and diagnostics of erysipelas review |
topic | рожа бета-гемолитический стрептококк группы а дифференциальная диагностика рожи эпидемиология и клинические формы рожи комплексная терапия рожи |
url | https://www.medarhive.ru/jour/article/view/694 |
work_keys_str_mv | AT nfplavunov characteristicofclinicanddiagnosticsoferysipelasreview AT vakadyshev characteristicofclinicanddiagnosticsoferysipelasreview AT tyachernobrovkina characteristicofclinicanddiagnosticsoferysipelasreview AT lnproskurina characteristicofclinicanddiagnosticsoferysipelasreview |