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Erysipelas RULE INRULE OUTMay affect any age groupSite of infection: facial (not uncommon and may follow rhinitis)Common in immunocompromised patients (patient is elderly with DM and HTN; s/p CVD)PE: (+) multiple, well-defined, erythematous, confluent plaques

No known portals or source of infection (trauma, underlying dermatoses, surgical wound, mucosal infection)Absence of prodrome: Malaise, anorexia, fever, chills usually apparent before formation of lesionNegative lymphadenopathyCharacteristic PE: Red, hot, edematous and shiny plaque, and very tender area of skin of varying size; borders usually sharply defined, irregular, and slightly elevatedTinea facialisRULE INRULE OUTOn PE: Well-circumscribed macule to plaque of variable size; elevated border, scaling is often minimal but can be pronounced, pink to red in color

More common in childrenAbsence of predisposing factors: Animal exposure, chronic topical application of glucocorticoids