Difference between revisions of "Cellulitis"

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(Created page with "'''Cellulitis''' is an acute inflammatory process of the dermis and/or subcutis due to an infection.<ref>{{Ref Derm|122}}</ref> ==General== Clinical DDx:<ref name=pmid2285443...")
 
 
(7 intermediate revisions by the same user not shown)
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'''Cellulitis''' is an acute inflammatory process of the dermis and/or subcutis due to an infection.<ref>{{Ref Derm|122}}</ref>
'''Cellulitis''' is an acute inflammatory process of the dermis and/or subcutis due to an infection.<ref>{{Ref Derm|122}}</ref><ref name=pmid21410612>{{Cite journal  | last1 = Bailey | first1 = E. | last2 = Kroshinsky | first2 = D. | title = Cellulitis: diagnosis and management. | journal = Dermatol Ther | volume = 24 | issue = 2 | pages = 229-39 | month =  | year =  | doi = 10.1111/j.1529-8019.2011.01398.x | PMID = 21410612 }}</ref> It is rarely biopsied.


==General==
==General==
Clinical DDx:<ref name=pmid22854433>{{Cite journal  | last1 = Keller | first1 = EC. | last2 = Tomecki | first2 = KJ. | last3 = Alraies | first3 = MC. | title = Distinguishing cellulitis from its mimics. | journal = Cleve Clin J Med | volume = 79 | issue = 8 | pages = 547-52 | month = Aug | year = 2012 | doi = 10.3949/ccjm.79a.11121 | PMID = 22854433 }}</ref>
Clinical features:<ref name=pmid21410612/>
*Swelling.
*Warmth
*Tenderness.
*Erythema.
 
Note:
*These are the classic features of inflammation (rubor, tumour, calor and dolor).
 
DDx (clinical):<ref name=pmid22854433>{{Cite journal  | last1 = Keller | first1 = EC. | last2 = Tomecki | first2 = KJ. | last3 = Alraies | first3 = MC. | title = Distinguishing cellulitis from its mimics. | journal = Cleve Clin J Med | volume = 79 | issue = 8 | pages = 547-52 | month = Aug | year = 2012 | doi = 10.3949/ccjm.79a.11121 | PMID = 22854433 }}</ref>
*Stasis dermatitis.
*Stasis dermatitis.
*lipodermatosclerosis.
*lipodermatosclerosis.
Line 10: Line 19:
*Papular urticaria.
*Papular urticaria.
*[[Metastatic disease]].<ref name=pmid24463287>{{Cite journal  | last1 = Jang | first1 = YH. | last2 = Lim | first2 = do H. | last3 = Kim | first3 = YH. | last4 = Suh | first4 = WY. | last5 = Park | first5 = KW. | last6 = Song | first6 = IH. | last7 = Lee | first7 = SI. | title = [Early gastric cancer with cellulitis-like skin metastasis]. | journal = Korean J Gastroenterol | volume = 63 | issue = 1 | pages = 39-41 | month = Jan | year = 2014 | doi =  | PMID = 24463287 }}</ref>
*[[Metastatic disease]].<ref name=pmid24463287>{{Cite journal  | last1 = Jang | first1 = YH. | last2 = Lim | first2 = do H. | last3 = Kim | first3 = YH. | last4 = Suh | first4 = WY. | last5 = Park | first5 = KW. | last6 = Song | first6 = IH. | last7 = Lee | first7 = SI. | title = [Early gastric cancer with cellulitis-like skin metastasis]. | journal = Korean J Gastroenterol | volume = 63 | issue = 1 | pages = 39-41 | month = Jan | year = 2014 | doi =  | PMID = 24463287 }}</ref>
*Deep vein thrombosis.<ref name=pmid21410612/>
*[[Panniculitis]].<ref name=pmid21410612/>
==Gross==
Features:
*Swelling.
*Erythema.
===Images===
<gallery>
Image:Cellulitis Of The Leg.jpg |Cellulitis. (WC/Pshawnoah)
</gallery>
==Microscopic==
Features:
*Neurophil predominant perivascular inflammation.<ref name=pmid18418089>{{cite journal |author=Brinster NK |title=Dermatopathology for the surgical pathologist: a pattern based approach to the diagnosis of inflammatory skin disorders (part I) |journal=Adv Anat Pathol |volume=15 |issue=2 |pages=76–96 |year=2008 |month=March |pmid=18418089 |doi=10.1097/PAP.0b013e3181664e8d |url=}}</ref>
DDx:<ref name=pmid18418089/>
*Neutrophilic eccrine hidradenitis (idiopathic palmar-plantar hidradenitis).
*Urticaria - also has [[eosinophils]].


==See also==
==See also==
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==References==
==References==
{{Reflist|1}}
{{Reflist|1}}
==External links==
*[http://www.ccjm.org/uploads/media/media_7d03d97_547.pdf Cellulitis and its clinical mimics (ccjm.org)].


[[Category:Diagnosis]]
[[Category:Diagnosis]]

Latest revision as of 15:21, 11 February 2016

Cellulitis is an acute inflammatory process of the dermis and/or subcutis due to an infection.[1][2] It is rarely biopsied.

General

Clinical features:[2]

  • Swelling.
  • Warmth
  • Tenderness.
  • Erythema.

Note:

  • These are the classic features of inflammation (rubor, tumour, calor and dolor).

DDx (clinical):[3]

Gross

Features:

  • Swelling.
  • Erythema.

Images

  • Cellulitis. (WC/Pshawnoah)

Microscopic

Features:

  • Neurophil predominant perivascular inflammation.[5]

DDx:[5]

  • Neutrophilic eccrine hidradenitis (idiopathic palmar-plantar hidradenitis).
  • Urticaria - also has eosinophils.

See also

References

  1. ↑ Busam, Klaus J. (2009). Dermatopathology: A Volume in the Foundations in Diagnostic Pathology Series (1st ed.). Saunders. pp. 122. ISBN 978-0443066542.
  2. ↑ 2.0 2.1 2.2 2.3 Bailey, E.; Kroshinsky, D.. "Cellulitis: diagnosis and management.". Dermatol Ther 24 (2): 229-39. doi:10.1111/j.1529-8019.2011.01398.x. PMID 21410612.
  3. ↑ Keller, EC.; Tomecki, KJ.; Alraies, MC. (Aug 2012). "Distinguishing cellulitis from its mimics.". Cleve Clin J Med 79 (8): 547-52. doi:10.3949/ccjm.79a.11121. PMID 22854433.
  4. ↑ Jang, YH.; Lim, do H.; Kim, YH.; Suh, WY.; Park, KW.; Song, IH.; Lee, SI. (Jan 2014). "[Early gastric cancer with cellulitis-like skin metastasis].". Korean J Gastroenterol 63 (1): 39-41. PMID 24463287.
  5. ↑ 5.0 5.1 Brinster NK (March 2008). "Dermatopathology for the surgical pathologist: a pattern based approach to the diagnosis of inflammatory skin disorders (part I)". Adv Anat Pathol 15 (2): 76–96. doi:10.1097/PAP.0b013e3181664e8d. PMID 18418089.

External links

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