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A 63-year-old woman with metastatic breast cancer presents with erythema, swelling, and pain over the perineum. She is hypotensive and febrile. Examination reveals dusky skin with patchy anaesthesia and palpable crepitus.
Which clinical feature most specifically indicates necrotising fasciitis rather than cellulitis?

Localised swelling

Fever >38°C

Anaesthesia over the affected area

Elevated CRP

Leucocytosis

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