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Depending on etiologies, lymphangitis has spectrum of clinical presentation<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=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="pmid27271418">{{cite journal| author=Füeßl HS| title=[Emergency checklist: Acute lymphangitis]. | journal=MMW Fortschr Med | year= 2016 | volume= 158 | issue= 11 | pages= 65 | pmid=27271418 | doi=10.1007/s15006-016-8384-9 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27271418  }} </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>
Depending on etiologies, lymphangitis has spectrum of clinical presentation<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=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="pmid27271418">{{cite journal| author=Füeßl HS| title=[Emergency checklist: Acute lymphangitis]. | journal=MMW Fortschr Med | year= 2016 | volume= 158 | issue= 11 | pages= 65 | pmid=27271418 | doi=10.1007/s15006-016-8384-9 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27271418  }} </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>
==History and Symptoms==
==History and Symptoms==
 
*Clinical manifestation of lymphangitis are variable, depending on the etiology. History and symptoms based on the classification as follows:
*Clinical manifestation of lymphangitis are variable, depending on the etiology. History and symptoms based on the classification as follows
 
===Lymphangitis due to infectious etiology===
===Lymphangitis due to infectious etiology===
====Acute lymphangitis====
====Acute lymphangitis====
Line 19: Line 17:
*Red streaks from the infected area to the regional lymph node
*Red streaks from the infected area to the regional lymph node
====Systemic manifestations====
====Systemic manifestations====
*Systemic manifestations may develop before evidence of infection at site become apparent.
*Fever
*[[Chills]]
*[[Chills]]
*[[Headache]]
*[[Headache]]
Line 28: Line 24:
*[[Muscle aches]]   
*[[Muscle aches]]   
====Chronic Granulomatous Lymphangitis====
====Chronic Granulomatous Lymphangitis====
*Commonly effects the extremities  
*Commonly effects the extremities
*Painless or painful subcutaneous nodule at the site of incoulation.
*Painless or painful subcutaneous nodule at the site of incoulation
*Nodules may subsequently ulcerate at site on inoculation, as seen in case of Sporothrix schenckii.
*Nodules may subsequently ulcerate at site on inoculation, as seen in case of Sporothrix schenckii
*Slowly, multiple subcutaneous nodules appear and extend proximally along the course of lymphatics
*Slowly, multiple subcutaneous nodules appear and extend proximally along the course of lymphatics
====Filarial lymphangitis====
====Filarial lymphangitis====

Revision as of 00:36, 24 October 2016

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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]Template:DV

Overview

Depending on etiologies, lymphangitis has spectrum of clinical presentation[1][2][3][4][5][6][7][8]

History and Symptoms

  • Clinical manifestation of lymphangitis are variable, depending on the etiology. History and symptoms based on the classification as follows:

Lymphangitis due to infectious etiology

Acute lymphangitis

Local manifestations
  • Commonly effects the extremities
  • Pain(throbbing in nature)
  • Redness
  • Swelling of the region
  • Red streaks from the infected area to the regional lymph node

Systemic manifestations

Chronic Granulomatous Lymphangitis

  • Commonly effects the extremities
  • Painless or painful subcutaneous nodule at the site of incoulation
  • Nodules may subsequently ulcerate at site on inoculation, as seen in case of Sporothrix schenckii
  • Slowly, multiple subcutaneous nodules appear and extend proximally along the course of lymphatics

Filarial lymphangitis

  • Acute filarial lymphangitis(Acute adenolymphangitis) charcterize by:
    • High fever
    • Lymphangitis, extending peripherally from the lymph node
    • Recurrent episodes of headache, backache, epididymitis, and orchitis

Lymphangitis due to infectious etiology

Lymphangitis carcinomatosa

  • Commonly involves the lung[9]
    • Dyspnea(insidious in onset)
  • Non-productive cough
  • Chest pain
  • Cyanosis
  • Cachexia

References

  1. ↑ lymphanitis Mandell, GERALD L. "Mandell, Douglas, and Bennett's." Principles and practice of infectious diseases 7 (1995) Accessed on October 12,2016
  2. ↑ 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
  3. ↑ Füeßl HS (2016). "[Emergency checklist: Acute lymphangitis]". MMW Fortschr Med. 158 (11): 65. doi:10.1007/s15006-016-8384-9. PMID 27271418.
  4. ↑ Kostman JR, DiNubile MJ (1993). "Nodular lymphangitis: a distinctive but often unrecognized syndrome". Ann Intern Med. 118 (11): 883–8. PMID 8480962.
  5. ↑ Schubach A, Barros MB, Wanke B (2008). "Epidemic sporotrichosis". Curr Opin Infect Dis. 21 (2): 129–33. doi:10.1097/QCO.0b013e3282f44c52. PMID 18317034.
  6. ↑ 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.
  7. ↑ 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.
  8. ↑ 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.
  9. ↑ Bruce DM, Heys SD, Eremin O (1996). "Lymphangitis carcinomatosa: a literature review". J R Coll Surg Edinb. 41 (1): 7–13. PMID 8930034.

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