Sporotrichosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical examination
Appearance of the Patient
Vital Signs
Skin
Cutaneous:
- Initial nodular lesion at inoculation site
- Small and painless
- Pink to purple coloration
- Plaque
- Erythema
- Nodular lesion grows when left untreated
- Boil-like
- Ulceration
- Drainage
- Older distal lesions will likely ulcerate and ooze, while proximal lesions manifest as nodules and undergo the same cycle.
Disseminated Cutaneous:
- Subcutaneous mass lesions
- Diffuse purplish nodules
- Disseminated, ulcerating lesions
HEENT
Lungs
- pulmonary sporotrichosis:
- productive coughing
- nodules and cavitations of the lungs
- fibrosis
- swollen hilar lymph nodes.
Extremities
- Cutaneous sporotrichosis lesions are characteristic to upper extremities
- Lesions on fingers
- Lesions on arms
- Lesions on hands
Neuromuscular
- Patient is usually oriented to persons, place, and time.
