Diferencia entre revisiones de «Lymphangitis»

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''Not to be confused with [[lymphadenitis]].
==Background==
==Background==
*Inflammation of deep dermal/subdermal lymphatic channels
*Inflammation of deep dermal/subdermal lymphatic channels
*Usually due to inoculation of skin flora through wound or cellulitis
*Usually due to inoculation of skin flora through wound or [[cellulitis]]
*Non-infectious lymphangitis much less common, typically due to malignancy
*Non-infectious lymphangitis much less common, typically due to malignancy
Lymphangitis usually presents with streaking erethyma that may be tender to palpation, fever, and possibly tender lymphadenopathy if a concomitant [[lymphadenitis]] occurs.


==Clinical Features==
==Clinical Features==
[[File:CellulitisJmh649.jpg|thumb|Forearm lymphangitis due to cellulitis of the hand]]
[[File:Hand and forearm lymphangitis.JPG|thumb|Another example of lymphangitis]]
*Pain
*Pain
*Fever
*[[Fever]]
*Streaking erythema
*Streaking erythema
*Tenderness to palpation
*Tenderness to palpation
*+/- tender lymphadenopathy
*+/- tender [[lymphadenopathy]]


==Differential Diagnosis==
==Differential Diagnosis==
*[[Skin and Soft Tissue Infection]]
{{SSTI DDX}}
**[[Cellulitis]], especially if immunocompromised or severe infection
**[[Erysipelas]]
*[[Necrotizing soft tissue infections]]
**[[Necrotizing fasciitis
**[[Necrotizing myositis]]
**[[Necrotizing cellulitis]]
*[[Mycobacterium marinum]]
*Soft tissue infection look-alikes
**[[Sporotrichosis]]
**[[Osteomyelitis]]
**[[Deep venous thrombosis]]
**[[Pyomyositis]]


==Evaluation==
==Evaluation==
 
*Clinical diagnosis


==Management==
==Management==
*Depends on underlying case, but usually IV antibiotics, fluids, analgesia
*Depends on underlying case, but usually IV [[antibiotics]], fluids, [[analgesia]]


==Disposition==
==Disposition==
 
*Depends on underlying cause.
*Does not require admission, per se, but increases its chances as a sign of infection potentially spreading systemically


==See Also==
==See Also==
*[[Skin and Soft Tissue Infection]]
*[[Skin and soft tissue infections]]


==External Links==
==External Links==
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[[Category:Dermatology]]
[[Category:Dermatology]]
[[Category:Symptoms]]
[[Category:ID]]

Revisión actual - 21:03 9 sep 2020

Not to be confused with lymphadenitis.

Background

  • Inflammation of deep dermal/subdermal lymphatic channels
  • Usually due to inoculation of skin flora through wound or cellulitis
  • Non-infectious lymphangitis much less common, typically due to malignancy

Clinical Features

Forearm lymphangitis due to cellulitis of the hand
Another example of lymphangitis

Differential Diagnosis

Skin and Soft Tissue Infection

Look-A-Likes

Evaluation

  • Clinical diagnosis

Management

Disposition

  • Depends on underlying cause.
  • Does not require admission, per se, but increases its chances as a sign of infection potentially spreading systemically

See Also

External Links

References