Editing Erysipelas (section)

==Signs and symptoms==
Symptoms often occur suddenly. Affected individuals may develop a fever, [[shivering]], [[chills]], [[fatigue (physical)|fatigue]], [[headaches]], and vomiting, and be generally unwell within 48 hours of the initial infection.<ref name="Ferri2018"/><ref name=Dermnetz/> The [[erythema|red]] [[Skin condition#Lesions|plaque]] enlarges rapidly and has a sharply demarcated, raised edge.<ref name=CDC/><ref name="Fitzpatrick2009">{{Cite book|last1=Wolff|first1=Klaus|url=https://books.google.com/books?id=pBTgcxuI7ysC|title=Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology: Sixth Edition|last2=Johnson|first2=Richard|date=2009|publisher=McGraw Hill Professional|isbn=978-0-07-163342-0|pages=609|language=en|chapter=Part III; Diseases due to microbial agents}}</ref> It may appear swollen, feel firm, warm, and tender to touch, and have a consistency similar to orange peel.<ref name=Dermnetz/> Pain may be extreme.<ref name=Fitzpatrick2009/>

More severe infections can result in [[Cutaneous condition#Primary lesions|vesicles]] (pox or insect bite-like marks), [[blister]]s, and [[petechia]]e (small purple or red spots), with possible skin [[necrosis]] (death).<ref name=Fitzpatrick2009/> [[Lymph node]]s may be swollen and [[lymphedema]] may occur. Occasionally, a red streak extending to the lymph node can be seen.<ref>{{cite web |url=https://www.lecturio.com/concepts/cellulitis/| title=Cellulitis|website=The Lecturio Medical Concept Library |access-date= 7 July 2021}}</ref>

The infection may occur on any part of the skin, including the face, arms, fingers, legs, and toes; it tends to favour the extremities.<ref name="Ferri2018"/> The umbilical stump and sites of lymphedema are also common sites affected.<ref name=Fitzpatrick2009/> Fat tissue and facial areas, typically around the eyes, ears, and cheeks, are most susceptible to infection.<ref>{{cite web |url=https://www.lecturio.com/concepts/erysipelas/| title=Erysipelas|website=The Lecturio Medical Concept Library |access-date= 21 July 2021}}</ref> Repeated infection of the extremities can lead to chronic swelling ([[lymphoedema]]).<ref name=Dermnetz/>

<gallery>
File:Erysipel2.JPG|Erysipelas (ear)
image:Erysipel.JPG|Erysipelas (arm)
image:Erysipelas in a foot.jpg|Erysipelas (leg)
File:Recurrent erysipelas on edematous leg.jpg|Recurrent erysipelas
</gallery>