Lymphangitis

Not to be confused with lymphadenitis.

Background

  • Inflammation of deep dermal/subdermal lymphatic channels
  • Usually due to inoculation of skin flora through wound or cellulitis
  • Non-infectious lymphangitis much less common, typically due to malignancy

Clinical Features

  • Pain
  • Fever
  • Streaking erythema
  • Tenderness to palpation
  • +/- tender lymphadenopathy

Differential Diagnosis

Skin and Soft Tissue Infection

Look-A-Likes

Evaluation

  • Clinical diagnosis

Management

  • Depends on underlying case, but usually IV antibiotics, fluids, analgesia

Disposition

  • Depends on underlying cause.
  • Does not require admission, per se, but increases its chances as a sign of infection potentially spreading systemically

See Also


References

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