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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...") |
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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. | ||
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*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]] | ||