Lymphangitis history and symptoms: Difference between revisions

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*Cyanosis
*Cyanosis
*Cachexia  
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==References==
==References==
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{{reflist|2}}

Revision as of 21:37, 23 October 2016

Lymphangitis Microchapters

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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[1][2][3][4][5][6][7][8]

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[9]
    • Dyspnea(insidious in onset)
  • Non-productive cough
  • Chest pain
  • Cyanosis
  • Cachexia

References

  1. lymphanitis Mandell, GERALD L. "Mandell, Douglas, and Bennett's." Principles and practice of infectious diseases 7 (1995) Accessed on October 12,2016
  2. lymphanitis "Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo"Harrison's Principles of Internal Medicine, 19e Accessed on October 12,2016
  3. Füeßl HS (2016). "[Emergency checklist: Acute lymphangitis]". MMW Fortschr Med. 158 (11): 65. doi:10.1007/s15006-016-8384-9. PMID 27271418.
  4. Kostman JR, DiNubile MJ (1993). "Nodular lymphangitis: a distinctive but often unrecognized syndrome". Ann Intern Med. 118 (11): 883–8. PMID 8480962.
  5. Schubach A, Barros MB, Wanke B (2008). "Epidemic sporotrichosis". Curr Opin Infect Dis. 21 (2): 129–33. doi:10.1097/QCO.0b013e3282f44c52. PMID 18317034.
  6. Chung E, Pulitzer MP, Papadopoulos EB, Papanicolaou GA, Babady NE, Marchetti MA (2015). "Lymphangitic papules caused by Nocardia takedensis". JAAD Case Rep. 1 (3): 126–8. doi:10.1016/j.jdcr.2015.03.001. PMC 4808715. PMID 27051706.
  7. Taylor MJ, Cross HF, Ford L, Makunde WH, Prasad GB, Bilo K (2001). "Wolbachia bacteria in filarial immunity and disease". Parasite Immunol. 23 (7): 401–9. PMID 11472559.
  8. Taylor MJ, Hoerauf A, Bockarie M (2010). "Lymphatic filariasis and onchocerciasis". Lancet. 376 (9747): 1175–85. doi:10.1016/S0140-6736(10)60586-7. PMID 20739055.
  9. Bruce DM, Heys SD, Eremin O (1996). "Lymphangitis carcinomatosa: a literature review". J R Coll Surg Edinb. 41 (1): 7–13. PMID 8930034.

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