A Statistical Study about Clinical and Laboratory Trends in Cellulitis/Erysiperas

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  • OKAMOTO Osamu
    Division of Dermatology, Oita City Medical Association's Almeida Memorial Hospital
  • SUZUKI Rui
    Division of Plastic Surgery, Oita City Medical Association's Almeida Memorial Hospital
  • KUSATSU Manami
    Division of Plastic Surgery, Oita City Medical Association's Almeida Memorial Hospital
  • MATSUDA Kaho
    Division of Plastic Surgery, National Hospital Organization Beppu Medical Center
  • SATO Seiichi
    Division of Plastic Surgery, Oita Oka Hospital
  • KAI Yoshitaka
    Division of Dermatology, National Hospital Organization Beppu Medical Center
  • SHIOTA Seiji
    Division of General Medicine, Oita City Medical Association's Almeida Memorial Hospital
  • HASHIMOTO Hiroyuki
    Division of Plastic Surgery, Oita City Medical Association's Almeida Memorial Hospital

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Other Title
  • 蜂窩織炎／丹毒の臨床，検査値経過に関する統計的研究
  • 統計 蜂窩織炎/丹毒の臨床,検査値経過に関する統計的研究
  • トウケイ ホウカシキエン/タンドク ノ リンショウ,ケンサチ ケイカ ニ カンスル トウケイテキ ケンキュウ

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<p>We statistically analyzed the clinical parameters and laboratory data in patients with cellulitis/erysipelas in order to predict the clinical course and trends. The younger patients were predominantly male, while the older patients were predominantly female. During a pretreatment period, the C-reactive protein (CRP) values remained elevated as long as the pretreatment period was increased, whereas the white blood cell (WBC) counts and body temperature tended to decrease. When treatment was initiated earlier after the disease onset, the CRP values tended to decrease after reaching a peak ; in contrast, the WBC counts and temperature decreased early after the initiation of treatment, irrespective of the time of the disease onset. Eight point eight±6.0 days were required for the CRP values to drop below 2 mg/dl, while the WBC count and temperature required 4.9±5.9 days and 5.7±5.5 days respectively, to normalize. The maximum CRP values and WBC counts showed strong and significant positive correlations with the time required for these values to decrease. As the maximum CRP value increased, the treatment period became longer ; furthermore, the procalcitonin level greatly influenced the time required for the CRP value to decrease. Continuous usage of anti-inflammatory agents slightly decreased the maximum temperature ; however, it did not greatly influence other trends. Patients that presented with a highly deviated treatment period, lesional area, maximal CRP value, WBC count, temperature, or time required for their reduction (extreme cases) tended to be older and to have higher procalcitonin values in comparison to the usual cases. Furthermore, sepsis was significantly more frequent in the extreme cases. On the other hand, there were no significant differences between the usual cases and the cases whose laboratory values remained within the normal limits (normally-valued cases) ; these cases accounted for one quarter of the patients in the study population.</p>

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