The cellulitis, also well-known by paniculosis, adiposalgia or reumatismo of subcutaneous the conjuntivo and fatty weave is a process due to the affectation of the subcutaneous cellular weave, of not known origin.
It exists inflammation, edema, degeneration and thickening of colágenas fibers, with appearance of fat nodules.
It affects fundamentally in its noninfectious phase to the women in a 95% of the cases, with greater or smaller extension and location and appears to any age, even in the puberty.
Complications
In the normal cases, the induraciones can go to greater and creating zones of pain to the tact or the rubbing, but while infection does not appear, it is not reason for preoccupation, except the aesthetic one.
The appearance or not of varices, can be or not in relation to the cellulitis, but there is base no to think that single she creates or determines the appearance of varicosidades.
Prognosis
With the age, the extension of the "skin of orange" can go to more, although the prognosis is not bad if it does not take prepared no infection.
In case this one made presence, the antibiotic treatment solves the problem in 7-10 days.
Diagnosis and treatment
Diagnosis
Disease diagnoses making biopsy either examination anatomopatológico of zone affected, which it is only made in cases in which the extension is great or the affected zone can jeopardize other organic activities or in case of complication by infection, to know the type microorganism cause.
General Measures
The therapy entails:
Daily physical exercise.
To avoid blows in the zones where he is present.
Not to wear clothes very fitted.
In cases of pain, tempered water baths, application of heat if there is infection.
Antibiotics if infection appears.
Medication
The injections so to the use in certain fashions or times, of substances all of them ineffective ones, only can lead to create more problems in the zone.
Drug infiltrations that assume absorb the fat, they do not have scientific base some demonstrable one and nobody hematoma or breakage of glass in the zone can serve to scatter the disease still more.
Factors of risk
Fundamentally, the internal infection in the zones where that "skin of orange" exists, that can give a serious picture of cellulitis by infection.
Prevention
Effective one does not exist any. The improvement of the circulation in the affected zones (thighs, legs, rumps) or by means of better massage or by means of daily exercise (to walk every day with sport shoe), is a guarantee of which the disease does not progress quickly.
To avoid the blows, moratones and in general everything what can affect those zones of subcutaneous weave cellular that are altered. The clothes very fit are detrimental for those zones.
The external creams, favor the hidratación of the skin (if they are hidratantes), but do not only arrive in no case to be related to the affected weave. However, the simple effect massage of its application and the fact that the person worries and conciencie about the necessity to do something of physical exercise every day, are of by beneficial himself.
Signs and symptoms
In a great percentage of cases, the appearance of that one "skin of affluent orange" with swellings defined of the skin in rumps and later and superior part of thighs, being able to arrive until the knee, does not cause more than problems of aesthetic type.
Nevertheless there is cases, the more age the more frequent, in which the patients aquejan pains variable quality, sometimes acute, in thighs, legs, and arms. Pain that simply accentuates with the pressure or the rubbing or with the heat of the bed.
To the tact the tension of the zone notices; to the pressure, like granulose and when tweaking, pain. In these extreme cases they can appear component psychic, like anxiety or depression.
Causes
The cause is of unknown origin. It seems to be bound by his almost exclusive presentation and in a highest percentage in women to feminine hormonal factors. But the certain thing is that to date reason for its appearance does not exist.
The cellulitis can degenerate in an infectious process and in this case it will be due to bacteria type estafilococo or estreptococo, becoming then a serious disease that needs treatment with antimicrobial medication.
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