Cellulitis
Jump to navigation
Jump to search
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.