Lymphangitis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vendhan Ramanujam M.B.B.S [2]Vishal Devarkonda, M.B.B.S[3]
Overview
Lymphangitis being a manifestation of wide concurrently occurring spectrum of manifestations or pathologies.The physical examination findings vary from etiology to etiology.
Physical examination findings for individual infections are discussed in detail separately.
Physical Examination
Lymphangitis being a manifestation of wide concurrently occurring spectrum of manifestations or pathologies.The physical examination findings vary from etiology to etiology. Commonly associated history and symptoms with different forms of etiology include:[1][2][3][4][5][6][7][8]
Lymphangitis due to infectious etiology
Common physical examination findings of acute lymphangitis
- Fever
- Red streaks from the infected area to the regional lymph node
- Tender lymph nodes
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Signs suggestive of severe infection Adapted from the 2005 IDSA Practice guidelines for the diagnosis and management of skin and soft-tissue infections.[9]
- Hypotension
- Cutaneous hemorrhage
- Disproportional pain
- Gas in the tissue
- Skin sloughing
- Violaceous bullae
Common physical examination findings of chronic granulomatous lymphangitis
- Painful or painless subcutaneous nodular swellings along the course of the lymphatic channels
- Tender lymph nodes
Physical examination findings of filarial lymphangitis, please click here
Lymphangitis due to Non-infectious etiology
Lymphangitis carcinomatosa
Common physical examination findings assoicated with lymphangitis carcinomatosa:[10]
- Cyanosis
- Signs of pulmonary hypertension
- Auscultation reveals moist or dry crackles
Sclerosing lymphangitis
Physical examination findings of sclerosing lymphangitis include:[11]
- A cordlike elevated strand 4 to 7 mm. wide which encircle the penile shaft.
- Palpation: the lesion was freely mobile and firm in consistency.
- On incision of the lesion a yellow-brown cord with multiple bulbous formations could be seen under the skin.
References
- ↑ lymphanitis Mandell, GERALD L. "Mandell, Douglas, and Bennett's." Principles and practice of infectious diseases 7 (1995) Accessed on October 12,2016
- ↑ Kostman JR, DiNubile MJ (1993). "Nodular lymphangitis: a distinctive but often unrecognized syndrome". Ann Intern Med. 118 (11): 883–8. PMID 8480962.
- ↑ Schubach A, Barros MB, Wanke B (2008). "Epidemic sporotrichosis". Curr Opin Infect Dis. 21 (2): 129–33. doi:10.1097/QCO.0b013e3282f44c52. PMID 18317034.
- ↑ Chung E, Pulitzer MP, Papadopoulos EB, Papanicolaou GA, Babady NE, Marchetti MA (2015). "Lymphangitic papules caused by Nocardia takedensis". JAAD Case Rep. 1 (3): 126–8. doi:10.1016/j.jdcr.2015.03.001. PMC 4808715. PMID 27051706.
- ↑ Taylor MJ, Cross HF, Ford L, Makunde WH, Prasad GB, Bilo K (2001). "Wolbachia bacteria in filarial immunity and disease". Parasite Immunol. 23 (7): 401–9. PMID 11472559.
- ↑ Taylor MJ, Hoerauf A, Bockarie M (2010). "Lymphatic filariasis and onchocerciasis". Lancet. 376 (9747): 1175–85. doi:10.1016/S0140-6736(10)60586-7. PMID 20739055.
- ↑ lymphanitis "Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo"Harrison's Principles of Internal Medicine, 19e Accessed on October 12,2016
- ↑ Bruce DM, Heys SD, Eremin O (1996). "Lymphangitis carcinomatosa: a literature review". J R Coll Surg Edinb. 41 (1): 7–13. PMID 8930034.
- ↑ Stevens DL, Bisno AL, Chambers HF, Everett ED, Dellinger P, Goldstein EJ; et al. (2005). "Practice guidelines for the diagnosis and management of skin and soft-tissue infections". Clin Infect Dis. 41 (10): 1373–406. doi:10.1086/497143. PMID 16231249.
- ↑ Bruce DM, Heys SD, Eremin O (1996). "Lymphangitis carcinomatosa: a literature review". J R Coll Surg Edinb. 41 (1): 7–13. PMID 8930034.
- ↑ Papeš D, Altarac S, Antabak A, Savić I (2015). "Nonvenereal sclerosing lymphangitis of the penis". Acta Dermatovenerol Croat. 23 (2): 150–1. PMID 26228831.