Difference between revisions of "Cellulitis"
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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><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> | '''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== | ||
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*Deep vein thrombosis.<ref name=pmid21410612/> | *Deep vein thrombosis.<ref name=pmid21410612/> | ||
*[[Panniculitis]].<ref name=pmid21410612/> | *[[Panniculitis]].<ref name=pmid21410612/> | ||
==Gross== | |||
Features: | |||
*Swelling. | |||
*Erythema. | |||
===Images=== | |||
<gallery> | |||
Image:Cellulitis Of The Leg.jpg |Cellulitis. (WC/Pshawnoah) | |||
</gallery> | |||
==Microscopic== | ==Microscopic== | ||
| Line 27: | Line 37: | ||
DDx:<ref name=pmid18418089/> | DDx:<ref name=pmid18418089/> | ||
*Neutrophilic eccrine hidradenitis (idiopathic palmar-plantar hidradenitis). | *Neutrophilic eccrine hidradenitis (idiopathic palmar-plantar hidradenitis). | ||
*Urticaria - also has [[eosinophils]]. | *Urticaria - also has [[eosinophils]]. | ||
| Line 36: | Line 45: | ||
==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]
- Stasis dermatitis.
- lipodermatosclerosis.
- Contact dermatitis.
- Lymphedema.
- Eosinophilic cellulitis.
- Papular urticaria.
- Metastatic disease.[4]
- Deep vein thrombosis.[2]
- Panniculitis.[2]
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
- ↑ Busam, Klaus J. (2009). Dermatopathology: A Volume in the Foundations in Diagnostic Pathology Series (1st ed.). Saunders. pp. 122. ISBN 978-0443066542.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 5.0 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.