By Gary M. White, MD

Erysipelas is an acute bacterial infection in the upper layer of the skin. Cellulitis is an infection in the lower layers of the skin. Occasionally, erysipelas may be bullous.


The condition usually occurs on the lower extremities [JAAD 1999;41;733]. Tenderness, sharply demarcated erythema and edema is typical. In addition, flaccid bulla several centimeters in diameter occur within the area. The bulla may contain blood.


The typical intravenous antibiotics to cover for the usual pathogens is needed. Local wound care may include leg elevation and topical application of either bacitracin or Silvadene. See cellulitis.


Homepage | FAQs | Use of Images | Contact Dr. White

It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.