CAJ | 학술논문

丹毒是一种累及皮肤深部组织的感染性皮肤病,多由A组B群溶血性链球菌引起.少见部位、复发性和难治型丹毒近年屡有文献报道,其中少见部位丹毒因发病机制特殊,常规丹毒的防治疗效甚微.丹毒患者合并症多而复杂,手术治疗造成脉管损伤以及术后的放化疗等使得丹毒易复发,滥用抗生素和糖皮质激素及耐药菌的出现等,导致难治型丹毒.各型丹毒相互关联、相互影响引起了单纯青霉素类抗生素疗效不佳等诸多问题.因此,阐述各型丹毒的发病机制和防治措施,改善患者的预后有一定意义.
단독시일충루급피부심부조직적감염성피부병,다유A조B군용혈성련구균인기.소견부위、복발성화난치형단독근년루유문헌보도,기중소견부위단독인발병궤제특수,상규단독적방치료효심미.단독환자합병증다이복잡,수술치료조성맥관손상이급술후적방화료등사득단독역복발,람용항생소화당피질격소급내약균적출현등,도치난치형단독.각형단독상호관련、상호영향인기료단순청매소류항생소료효불가등제다문제.인차,천술각형단독적발병궤제화방치조시,개선환자적예후유일정의의.
Erysipelas,an infectious disease involving deep tissue,is mostly caused by group A betahemolytic streptococci.Recently,there have been reports on erysipelas at rare locations,recurrent erysipelas and refractory erysipelas.Due to the special pathogenesis of erysipelas at rare locations,conventional treatment doesn't work.The complications of erysipelas are diverse and complex.Vascular damage caused by surgical treatment and postoperative chemoradiation therapy make erysipelas easy to relapse.Abuse of antibiotics and glucocorticoids as well as emergence of resistant bacteria lead to the occurrence of refractory erysipelas.These types of erysipelas interrelate with and influence each other,resulting in poor response to single penicillin treatment.This review summarizes the pathogenesis of as well as prevention and treatment approaches to the three types of erysipelas,which may benefit the improvement of its prognosis.