Lymphangitis history and symptoms
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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
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
- Systemic manifestations may develop before evidence of infection at site become apparent.
- Fever
- Chills
- Headache
- Loss of appetite
- Malaise
- Enlarged and tender lymph nodes
- Muscle aches
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
- Dyspnea(insidious in onset)
- Non-productive cough
- Chest pain
- Cyanosis
- Cachexia