Lymphangitis: Difference between revisions
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==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]] | ||
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==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]] | ||
Revision as of 04:22, 11 December 2019
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