Filariasis differential diagnosis: Difference between revisions

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Revision as of 19:34, 29 June 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Mohammed Abdelwahed M.D [2]

Diseases	Symptoms	Signs	Investigations
Lymphatic filariasis	History of living in endemic area or travelling to it. Painful non-pitting swelling
Chronic venous insufficiency	History of untreated varicose veins Painful bilateral lower limb swelling increase with standing and decreased by rest and leg elevation	Typical varicose veins Skin change distribution correlate with varicose veins sites in the medial side of ankle and leg Reduction of swelling with limb elevation.	Duplex ultrasound will demonstrate typical findings of venous valvular insufficiency
Acute deep venous thrombosis	History of prolonged recumbency Classic symptoms of DVT include acute unilateral swelling, pain, and erythema		Compression ultrasonography (CUS) with Doppler is the diagnostic test of choice D-dimer is used for unprobable cases
Lipedema	Patients may complain of pain,swelling and easy bruising.^[1]	Family history especially in women; X-linked dominant or autosomal dominant condition^[2] Abnormal deposition of fat and edema Tenderness with palpation
Myxedema	History of untreated hypothyroidism Infiltration of the skin with glycosaminoglycans with associated water retention Chronic painful nonpitting swelling
Cellulitis	Acute painful swelling and may be fever	Tenderness,hotness and may be flactuation if abscess formed
Other causes of generalized edema	History of chronic general condition(cardiac-liver-renal)

↑ Herbst KL (2012). "Rare adipose disorders (RADs) masquerading as obesity". Acta Pharmacol Sin. 33 (2): 155–72. doi:10.1038/aps.2011.153. PMC 4010336. PMID 22301856.
↑ Child AH, Gordon KD, Sharpe P, Brice G, Ostergaard P, Jeffery S; et al. (2010). "Lipedema: an inherited condition". Am J Med Genet A. 152A (4): 970–6. doi:10.1002/ajmg.a.33313. PMID 20358611.

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 | Lymphatic filariasis
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+* History of living in endemic area or travelling to it.
+* Painful non-pitting swelling
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 |Myxedema
-|History of untreated hypothyroidism
+|
+* History of untreated hypothyroidism
+* Infiltration of the skin with glycosaminoglycans with associated water retention
+* Chronic painful nonpitting swelling
 |
@@ Line 61: / Line 66: @@
 |-
 |Cellulitis
-|
+|Acute painful swelling and may be fever
-|
+|Tenderness,hotness and may be flactuation if abscess formed
 |
 |-
 |Other causes of generalized edema
-|
+|History of chronic general condition(cardiac-liver-renal)
 |
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