Lymphangitis: Difference between revisions
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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 | ||
==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== | ||
{{SSTI DDX}} | |||
==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 | *[[Skin and soft tissue infections]] | ||
==External Links== | ==External Links== | ||
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[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:Symptoms]] | |||
[[Category:ID]] | |||
Latest revision as of 21:03, 9 September 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
- Pain
- Fever
- Streaking erythema
- Tenderness to palpation
- +/- tender lymphadenopathy
Differential Diagnosis
Skin and Soft Tissue Infection
- Cellulitis
- Erysipelas
- Lymphangitis
- Folliculitis
- Hidradenitis suppurativa
- Skin abscess
- Necrotizing soft tissue infections
- Mycobacterium marinum
Look-A-Likes
- Sporotrichosis
- Osteomyelitis
- Deep venous thrombosis
- Pyomyositis
- Purple glove syndrome
- Tuberculosis (tuberculous inflammation of the skin)
Evaluation
- Clinical diagnosis
Management
- Depends on underlying case, but usually IV antibiotics, fluids, analgesia
Disposition
- Depends on underlying cause.
- Does not require admission, per se, but increases its chances as a sign of infection potentially spreading systemically