Necrotizing fasciitis differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Necrotizing fasciitis must be differentiated from other diseases that cause [[erythema]], [[pain]], [[edema]] and [[necrosis]] of soft tissues such as [[sunburn]], [[cellulitis]], [[erysipelas]], [[diabetic myonecrosis]] and [[vasculitis]].<ref name="pmid15735411">{{cite journal| author=Wong CH, Wang YS| title=The diagnosis of necrotizing fasciitis. | journal=Curr Opin Infect Dis | year= 2005 | volume= 18 | issue= 2 | pages= 101-6 | pmid=15735411 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15735411 }} </ref> | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Necrotizing fasciitis must be differentiated from: | Necrotizing fasciitis must be differentiated from:<ref name="pmid15735411">{{cite journal| author=Wong CH, Wang YS| title=The diagnosis of necrotizing fasciitis. | journal=Curr Opin Infect Dis | year= 2005 | volume= 18 | issue= 2 | pages= 101-6 | pmid=15735411 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15735411 }} </ref> <ref name="pmid9490940">{{cite journal| author=Schmid MR, Kossmann T, Duewell S| title=Differentiation of necrotizing fasciitis and cellulitis using MR imaging. | journal=AJR Am J Roentgenol | year= 1998 | volume= 170 | issue= 3 | pages= 615-20 | pmid=9490940 | doi=10.2214/ajr.170.3.9490940 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9490940 }} </ref><ref name="pmid20202917">{{cite journal| author=Ayestaray B, Dudrap E, Chartaux E, Verdier E, Joly P| title=Necrotizing pyoderma gangrenosum: an unusual differential diagnosis of necrotizing fasciitis. | journal=J Plast Reconstr Aesthet Surg | year= 2010 | volume= 63 | issue= 8 | pages= e655-8 | pmid=20202917 | doi=10.1016/j.bjps.2010.02.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20202917 }} </ref> | ||
'''Early stage''' | '''Early stage''' | ||
*Muscle | *[[Muscle strain]]s | ||
*Viral illness | *Viral illness | ||
*Thrombosis | *[[Thrombosis]] | ||
*Sprain or exacerbation of gout | *[[Sprain]] or exacerbation of [[gout]] | ||
* | *[[Sunburn]] or an [[allergy|allergic rash]] | ||
'''Late stage''' | '''Late stage''' | ||
* | *Non-necrotizing fasciitis ([[eosinophilic fasciitis]], [[paraneoplastic]] fasciitis, [[nodular fasciitis]], and proliferative fasciitis) | ||
*Cellulitis | *[[Cellulitis]] | ||
*Dermatomyositis | *[[Dermatomyositis]] | ||
* | *[[Erysipelas]] | ||
*Graft-versus-host disease (GVHD) | *[[Vasculitis]] ([[Lupus|Lupus myofasciitis]], [[Churg-Strauss Vasculitis]] and others) | ||
*Diabetic myonecrosis | *[[Graft-versus-host disease]] ([[GVHD]]) | ||
*Compartment syndrome | *[[Diabetic myonecrosis]] | ||
*Lymphedema | *[[Compartment syndrome]] | ||
*Phlegmasia cerulea dolens | *[[Lymphedema]] | ||
*Myxedema | *[[Phlegmasia cerulea dolens]] | ||
*Gastroenteritis | *[[Myxedema]] | ||
*[[Gastroenteritis]] | |||
*[[Pyoderma gangrenosum|Necrotizing pyoderma gangrenosum]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category: | [[Category:Surgery]] | ||
[[Category:Orthopedics]] | |||
Latest revision as of 22:56, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Necrotizing fasciitis must be differentiated from other diseases that cause erythema, pain, edema and necrosis of soft tissues such as sunburn, cellulitis, erysipelas, diabetic myonecrosis and vasculitis.[1]
Differential Diagnosis
Necrotizing fasciitis must be differentiated from:[1] [2][3]
Early stage
- Muscle strains
- Viral illness
- Thrombosis
- Sprain or exacerbation of gout
- Sunburn or an allergic rash
Late stage
- Non-necrotizing fasciitis (eosinophilic fasciitis, paraneoplastic fasciitis, nodular fasciitis, and proliferative fasciitis)
- Cellulitis
- Dermatomyositis
- Erysipelas
- Vasculitis (Lupus myofasciitis, Churg-Strauss Vasculitis and others)
- Graft-versus-host disease (GVHD)
- Diabetic myonecrosis
- Compartment syndrome
- Lymphedema
- Phlegmasia cerulea dolens
- Myxedema
- Gastroenteritis
- Necrotizing pyoderma gangrenosum
References
- ↑ 1.0 1.1 Wong CH, Wang YS (2005). "The diagnosis of necrotizing fasciitis". Curr Opin Infect Dis. 18 (2): 101–6. PMID 15735411.
- ↑ Schmid MR, Kossmann T, Duewell S (1998). "Differentiation of necrotizing fasciitis and cellulitis using MR imaging". AJR Am J Roentgenol. 170 (3): 615–20. doi:10.2214/ajr.170.3.9490940. PMID 9490940.
- ↑ Ayestaray B, Dudrap E, Chartaux E, Verdier E, Joly P (2010). "Necrotizing pyoderma gangrenosum: an unusual differential diagnosis of necrotizing fasciitis". J Plast Reconstr Aesthet Surg. 63 (8): e655–8. doi:10.1016/j.bjps.2010.02.008. PMID 20202917.