Cellulitis differential diagnosis: Difference between revisions
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There are few conditions which can be misdiagnosed as cellulitis like, thrombophlebitis, contact dermatitis, insect stings, drug reactions, arthritis.<ref name="pmid15630108">{{cite journal| author=Falagas ME, Vergidis PI| title=Narrative review: diseases that masquerade as infectious cellulitis. | journal=Ann Intern Med | year= 2005 | volume= 142 | issue= 1 | pages= 47-55 | pmid=15630108 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15630108 }} </ref> | There are few conditions which can be misdiagnosed as cellulitis like, thrombophlebitis, contact dermatitis, insect stings, drug reactions, arthritis.<ref name="pmid15630108">{{cite journal| author=Falagas ME, Vergidis PI| title=Narrative review: diseases that masquerade as infectious cellulitis. | journal=Ann Intern Med | year= 2005 | volume= 142 | issue= 1 | pages= 47-55 | pmid=15630108 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15630108 }} </ref> | ||
* Contact Dermatitis , is an inflammation of the skin in response to direct exposure to an allergic or irritant substance.They usually present with papular erythematous indistinct margins. Extent of distribution is often limited to area of exposure. | |||
==References== | ==References== | ||
Revision as of 19:01, 22 April 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Aditya Govindavarjhulla, M.B.B.S.
Overview
Cellulitis results in activation of the body's inflammatory response mechanisms. When the immune system cannot respond adequately, it can spread systemically through the blood stream.
Differential Diagnosis
Cellulitis can be promptly diagnosed with appropriate history and physical exam. Administration of antibiotic therapy will initiate resolution the condition in a 2-3 days. Differentials have to be thought of only when resolution is not seen. Non resolution can be even due to resistant strains of the bacterium involved.
- Erysipelas is a skin infection similar to Cellulitis , but affecting superficial layers of the skin. It has well demarcated edges than cellulitis.
- Erysipeloid is a skin infection which is mostly occupational in nature. It is most commonly seen in persons in poultry and meat industry. it had local lesions , diffuse lesions and systemic forms.
- Deep vein thrombosis, a condition in which clot is formed the veins. It can be differentiated by tenderness along the vein. Duplex ultrasonography reveals clot in the vein.
- Necrotizing fasciitis , it looks like cellulitis at the begining but it is more serious. Very great pain ,necrosis and bullae are seen. It often requires surgical exploration.
There are few conditions which can be misdiagnosed as cellulitis like, thrombophlebitis, contact dermatitis, insect stings, drug reactions, arthritis.[1]
- Contact Dermatitis , is an inflammation of the skin in response to direct exposure to an allergic or irritant substance.They usually present with papular erythematous indistinct margins. Extent of distribution is often limited to area of exposure.
References
- ↑ Falagas ME, Vergidis PI (2005). "Narrative review: diseases that masquerade as infectious cellulitis". Ann Intern Med. 142 (1): 47–55. PMID 15630108.