Lymphangitis: Difference between revisions

Revision as of 17:19, 22 September 2016

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

Lymphangitis usually presents with streaking erethyma that may be tender to palpation, fever, and possibly tender lymphadenopathy if a concomitant lymphadenitis occurs.

Clinical Features

Pain
Fever
Streaking erythema
Tenderness to palpation
+/- tender lymphadenopathy

Differential Diagnosis

Skin and Soft Tissue Infection
- 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

Evaluation

Management

Depends on underlying case, but usually IV antibiotics, fluids, analgesia

Disposition

External Links

References

Authors:

@@ Line 1: / Line 1: @@
 ==Background==
-Lymphangitis is inflammation of deep dermal and subdermal lymphatic channels due to any causes. Like [[lymphadenitis]], lymphangitis typically occurs as a result of cutaneous inoculation of skin flora into the lymphatic channels through a skin wound or cellulitis. Non-infectious lymphangitis, although less common, can occur and are typically related to cancer, most commonly lung, breast, GI (stomach, colorectal, pancreatic). Lymphangitis usually presents with streaking erethyma that may be tender to palpation, fever, and possibly tender lymphadenopathy if a concomitant [[lymphadenitis]] occurs.
+*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
+ Lymphangitis usually presents with streaking erethyma that may be tender to palpation, fever, and possibly tender lymphadenopathy if a concomitant [[lymphadenitis]] occurs.
 ==Clinical Features==
+*Pain
+*Fever
+*Streaking erythema
+*Tenderness to palpation
+*+/- tender lymphadenopathy
 ==Differential Diagnosis==
+*[[Skin and Soft Tissue Infection]]
+**[[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==
@@ Line 12: / Line 31: @@
 ==Management==
+*Depends on underlying case, but usually IV antibiotics, fluids, analgesia
 ==Disposition==
@@ Line 18: / Line 37: @@
 ==See Also==
+*[[Skin and Soft Tissue Infection]]
 ==External Links==