Lymphangitis: Difference between revisions

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

Forearm lymphangitis due to cellulitis of the hand

Another example of lymphangitis

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

Differential Diagnosis

Skin and Soft Tissue Infection

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

External Links

References

Authors:

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+''Not to be confused with [[lymphadenitis]].
 ==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
-==Differential==
+==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
+*[[Fever]]
+*Streaking erythema
+*Tenderness to palpation
+*+/- tender [[lymphadenopathy]]
-==Treatment==
+==Differential Diagnosis==
+{{SSTI DDX}}
+==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
+==See Also==
+*[[Skin and soft tissue infections]]
+==External Links==
+==References==
+<references/>
+[[Category:Dermatology]]
+[[Category:Symptoms]]
+[[Category:ID]]