Lymphangitis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Pain | *Pain | ||
*Fever | *[[Fever]] | ||
*Streaking erythema | *Streaking [[erythema]] | ||
*Tenderness to palpation | *Tenderness to palpation | ||
*+/- tender lymphadenopathy | *+/- tender [[lymphadenopathy]] | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 15: | Line 15: | ||
==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== | ||
Revision as of 17:44, 24 September 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