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{{CMG}}; {{AE}} {{VR}}{{VD}} | {{CMG}}; {{AE}} {{VR}}{{VD}} | ||
==Overview== | ==Overview== | ||
Lymphangitis being a manifestation of wide concurrently occurring spectrum of manifestations or pathologies.The | 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 findings for individual infections are discussed in detail separately. | ||
==Physical Examination== | ==Physical Examination== | ||
Lymphangitis being a manifestation of wide concurrently occurring spectrum of manifestations or pathologies.The | 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:<ref name="lymphangitis">lymphanitis Mandell, GERALD L. "Mandell, Douglas, and Bennett's." Principles and practice of infectious diseases 7 (1995) Accessed on October 12,2016</ref><ref name="pmid8480962">{{cite journal| author=Kostman JR, DiNubile MJ| title=Nodular lymphangitis: a distinctive but often unrecognized syndrome. | journal=Ann Intern Med | year= 1993 | volume= 118 | issue= 11 | pages= 883-8 | pmid=8480962 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8480962 }} </ref><ref name="pmid18317034">{{cite journal| author=Schubach A, Barros MB, Wanke B| title=Epidemic sporotrichosis. | journal=Curr Opin Infect Dis | year= 2008 | volume= 21 | issue= 2 | pages= 129-33 | pmid=18317034 | doi=10.1097/QCO.0b013e3282f44c52 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18317034 }} </ref><ref name="pmid27051706">{{cite journal| author=Chung E, Pulitzer MP, Papadopoulos EB, Papanicolaou GA, Babady NE, Marchetti MA| title=Lymphangitic papules caused by Nocardia takedensis. | journal=JAAD Case Rep | year= 2015 | volume= 1 | issue= 3 | pages= 126-8 | pmid=27051706 | doi=10.1016/j.jdcr.2015.03.001 | pmc=4808715 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27051706 }} </ref><ref name="pmid11472559">{{cite journal| author=Taylor MJ, Cross HF, Ford L, Makunde WH, Prasad GB, Bilo K| title=Wolbachia bacteria in filarial immunity and disease. | journal=Parasite Immunol | year= 2001 | volume= 23 | issue= 7 | pages= 401-9 | pmid=11472559 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11472559 }} </ref><ref name="pmid20739055">{{cite journal| author=Taylor MJ, Hoerauf A, Bockarie M| title=Lymphatic filariasis and onchocerciasis. | journal=Lancet | year= 2010 | volume= 376 | issue= 9747 | pages= 1175-85 | pmid=20739055 | doi=10.1016/S0140-6736(10)60586-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20739055 }} </ref><ref name="harrison">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</ref><ref name="pmid8930034">{{cite journal| author=Bruce DM, Heys SD, Eremin O| title=Lymphangitis carcinomatosa: a literature review. | journal=J R Coll Surg Edinb | year= 1996 | volume= 41 | issue= 1 | pages= 7-13 | pmid=8930034 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8930034 }} </ref> | ||
===Lymphangitis due to infectious etiology=== | ===Lymphangitis due to infectious etiology=== | ||
====Common physical examination findings of acute lymphangitis==== | ====Common physical examination findings of acute lymphangitis==== | ||
*Fever | *[[Fever]] | ||
*Red streaks from the infected area to the regional lymph node | *Red streaks from the infected area to the regional [[lymph node]] | ||
*Tender lymph nodes | *Tender [[Lymph node|lymph nodes]] | ||
{{#ev:youtube|7R2Juaw2y-Y}} | |||
{{#ev:youtube|R2mrSSwbLfQ}} | |||
=====Signs suggestive of severe infection <small><small><small><small>'''Adapted from the 2005 IDSA Practice guidelines for the diagnosis and management of skin and soft-tissue infections.'''<ref name="pmid16231249">{{cite journal| author=Stevens DL, Bisno AL, Chambers HF, Everett ED, Dellinger P, Goldstein EJ et al.| title=Practice guidelines for the diagnosis and management of skin and soft-tissue infections. | journal=Clin Infect Dis | year= 2005 | volume= 41 | issue= 10 | pages= 1373-406 | pmid=16231249 | doi=10.1086/497143 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16231249 }} </ref></small></small></small></small>===== | =====Signs suggestive of severe infection <small><small><small><small>'''Adapted from the 2005 IDSA Practice guidelines for the diagnosis and management of skin and soft-tissue infections.'''<ref name="pmid16231249">{{cite journal| author=Stevens DL, Bisno AL, Chambers HF, Everett ED, Dellinger P, Goldstein EJ et al.| title=Practice guidelines for the diagnosis and management of skin and soft-tissue infections. | journal=Clin Infect Dis | year= 2005 | volume= 41 | issue= 10 | pages= 1373-406 | pmid=16231249 | doi=10.1086/497143 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16231249 }} </ref></small></small></small></small>===== | ||
*[[Hypotension]] | *[[Hypotension]] | ||
*Cutaneous hemorrhage | *Cutaneous [[hemorrhage]] | ||
*Disproportional pain | *Disproportional [[pain]] | ||
*Gas in the tissue | *Gas in the tissue | ||
*Skin sloughing | *Skin sloughing | ||
*Violaceous bullae | *Violaceous [[bullae]] | ||
====Common physical examination findings of chronic granulomatous lymphangitis==== | ====Common physical examination findings of chronic granulomatous lymphangitis==== | ||
*Painful or painless nodular | *Painful or painless [[subcutaneous nodular]] swellings along the course of the lymphatic channels | ||
*Tender lymph nodes | *Tender [[lymph nodes]] | ||
====Physical examination findings of filarial lymphangitis, please [http://www.wikidoc.org/index.php/Filariasis_physical_examination click here]==== | ====Physical examination findings of filarial lymphangitis, please [http://www.wikidoc.org/index.php/Filariasis_physical_examination click here]==== | ||
===Lymphangitis due to Non-infectious etiology=== | ===Lymphangitis due to Non-infectious etiology=== | ||
====Lymphangitis carcinomatosa==== | ====Lymphangitis carcinomatosa==== | ||
Common physical examination findings assoicated with lymphangitis carcinomatosa:<ref name="pmid89300342">{{cite journal| author=Bruce DM, Heys SD, Eremin O| title=Lymphangitis carcinomatosa: a literature review. | journal=J R Coll Surg Edinb | year= 1996 | volume= 41 | issue= 1 | pages= 7-13 | pmid=8930034 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8930034 }}</ref> | Common physical examination findings assoicated with lymphangitis carcinomatosa:<ref name="pmid89300342">{{cite journal| author=Bruce DM, Heys SD, Eremin O| title=Lymphangitis carcinomatosa: a literature review. | journal=J R Coll Surg Edinb | year= 1996 | volume= 41 | issue= 1 | pages= 7-13 | pmid=8930034 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8930034 }}</ref> | ||
*Cyanosis | *[[Cyanosis]] | ||
*Signs of pulmonary hypertension | *Signs of [[pulmonary hypertension]] | ||
*Auscultation reveals moist or dry crackles | *Auscultation reveals moist or [[Crackles|dry crackles]] | ||
====Sclerosing lymphangitis==== | ====Sclerosing lymphangitis==== | ||
Physical examination findings of sclerosing lymphangitis include:<ref name="pmid26228831">{{cite journal| author=Papeš D, Altarac S, Antabak A, Savić I| title=Nonvenereal sclerosing lymphangitis of the penis. | journal=Acta Dermatovenerol Croat | year= 2015 | volume= 23 | issue= 2 | pages= 150-1 | pmid=26228831 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26228831 }}</ref> | Physical examination findings of sclerosing lymphangitis include:<ref name="pmid26228831">{{cite journal| author=Papeš D, Altarac S, Antabak A, Savić I| title=Nonvenereal sclerosing lymphangitis of the penis. | journal=Acta Dermatovenerol Croat | year= 2015 | volume= 23 | issue= 2 | pages= 150-1 | pmid=26228831 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26228831 }}</ref> | ||
* A cordlike elevated strand 4 to 7 mm. wide which encircle the penile shaft. | * A cordlike elevated strand 4 to 7 mm. wide which encircle the penile shaft. | ||
* Palpation: the lesion was freely mobile and firm in consistency. | * [[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. | * On incision of the lesion a yellow-brown cord with multiple bulbous formations could be seen under the [[Skin|skin.]] | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Inflammations]] | [[Category:Inflammations]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Signs and symptoms]] | [[Category:Signs and symptoms]] | ||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Vascular medicine]] | |||
Latest revision as of 22:36, 29 July 2020
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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
{{#ev:youtube|7R2Juaw2y-Y}} {{#ev:youtube|R2mrSSwbLfQ}}
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.