Sporotrichosis physical examination: Difference between revisions

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{{Sporotrichosis}}
{{Sporotrichosis}}


{{CMG}}
{{CMG}}; {{AE}} {{AJL}}
 
==Overview==
Common physical examination findings of cutaneous sporotrichosis include painless pink to purple [[nodular lesions]] or [[erythematous]] [[plaque]] on the skin, which may begin to grow, ulcerate, and drain. These [[Lesion|lesions]] characteristically manifest on upper extremities. Non-cutaneous forms of sporotrichosis are not generally associated with distinctive physical findings.


==Physical examination==
==Physical examination==
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===Vital Signs===
===Vital Signs===
*Patients with cutaneous forms of sporotrichosis typically present normal with vital signs.


===Skin===
===Skin===
Cutaneous:
Cutaneous:
* Initial nodular lesion at inoculation site
* Initial [[Nodular lesions|nodular lesion]] at [[inoculation]] site
** Small and painless
** Small and painless
** Pink to purple coloration
** Pink to purple coloration
** Plaque
** [[Plaque]]
** Erythema
** [[Erythema]]
* Nodular lesion grows when left untreated
** Capillary congestion
* [[Nodular lesions|Nodular lesion]] grows when left untreated
** Boil-like
** Boil-like
** Ulceration
** [[Ulceration]]
** Drainage
** Drainage


* Older distal lesions will likely ulcerate and ooze, while proximal lesions manifest as nodules and undergo the same cycle. 
* Older distal lesions will likely [[Ulcerated lesion|ulcerate]] and ooze, while proximal [[Lesion|lesions]] manifest as [[Nodular Lesions|nodules]] and undergo the same cycle. 
Disseminated Cutaneous:
Disseminated Cutaneous:
* Subcutaneous mass lesions  
* Subcutaneous mass [[Lesion|lesions]]
* Diffuse purplish nodules
* Diffuse purplish [[nodules]]
* Disseminated, ulcerating lesions
* Disseminated, [[Ulcerated lesion|ulcerating lesions]]


===HEENT===
===Lungs===
*Pulmonary sporotrichosis:
**Productive [[coughing]]
**Difficulty breathing due to [[pulmonary fibrosis]]
**Swollen hilar lymph nodes


===Extremities===
===Extremities===
* Cutaneous sporotrichosis lesions are characteristic to upper extremities
* Cutaneous sporotrichosis [[lesions]] are characteristic to upper extremities
** Lesions on fingers
** [[Lesions]] on fingers
** Lesions on arms
** [[Lesions]] on arms
** Lesions on hands
** [[Lesions]] on hands


===Neuromuscular===
===Neuromuscular===
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Infectious disease]]

Latest revision as of 19:07, 18 September 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alison Leibowitz [2]

Overview

Common physical examination findings of cutaneous sporotrichosis include painless pink to purple nodular lesions or erythematous plaque on the skin, which may begin to grow, ulcerate, and drain. These lesions characteristically manifest on upper extremities. Non-cutaneous forms of sporotrichosis are not generally associated with distinctive physical findings.

Physical examination

Appearance of the Patient

Vital Signs

  • Patients with cutaneous forms of sporotrichosis typically present normal with vital signs.

Skin

Cutaneous:

  • Older distal lesions will likely ulcerate and ooze, while proximal lesions manifest as nodules and undergo the same cycle. 

Disseminated Cutaneous:

Lungs

Extremities

Neuromuscular

  • Patient is usually oriented to persons, place, and time.


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References