Approach to the Patient With Presumed Cellulitis

Kroshinsky, Daniela; Grossman, Marc E.; Fox, Lindy P.

doi:10.1016/j.sder.2007.09.002

Cited by 19 publications

(15 citation statements)

References 96 publications

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“…Perianal cellulitis presents with tender, perianal erythema, possibly with accompanying fissures, purulence, or functional disturbances. This type of cellulitis occurs mainly in young children and can cause severe discomfort (12). It is usually caused by group A streptococci or staphylococci.…”

Section: Physical Examinationmentioning

confidence: 99%

Cellulitis: diagnosis and management

Bailey

Kroshinsky

2011

Dermatologic Therapy

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Cellulitis is an acute infection of the dermal and subcutaneous layers of the skin, often occurring after a local skin trauma. It is a common diagnosis in both inpatient and outpatient dermatology, as well as in the primary care setting. Cellulitis classically presents with erythema, swelling, warmth, and tenderness over the affected area. There are many other dermatologic diseases, which can present with similar findings, highlighting the need to consider a broad differential diagnosis. Some of the most common mimics of cellulitis include venous stasis dermatitis, contact dermatitis, deep vein thrombosis, and panniculitis. History, local characteristics of the affected area, systemic signs, laboratory tests, and, in some cases, skin biopsy can be helpful in confirming the correct diagnosis. Most patients can be treated as an outpatient with oral antibiotics, with dicloxacillin or cephalexin being the oral therapy of choice when methicillin-resistant Staphylococcus aureus is not a concern.

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Section: Physical Examinationmentioning

confidence: 99%

Cellulitis: diagnosis and management

Bailey

Kroshinsky

2011

Dermatologic Therapy

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“…For the differential of cellulites, we may consider cellulite‐appearing skin lesions or conditions that mimic cellulitis . The etiological conditions reported in the differential diagnosis would be infectious (bacterial, viral, fungal, parasitic, and mycobacterial), noninfectious conditions (auto‐inflammatory syndromes, panniculitis, vascular, metabolic, and other inflammatory diseases), or neoplasia (primary or metastatic) . Herpes zoster was considered in the differential diagnosis, but zosteriform cutaneous metastasis may also mimic c‐STS .…”

Section: Discussionmentioning

confidence: 70%

Unsuspected Stewart–Treves syndrome clinically mimicked by apparent bullous erysipelas and a systematic review of dermatological presentations of the classical Stewart–Treves syndrome

et al. 2018

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Background Stewart Treves–Syndrome (STS) was first characterized as angiosarcoma in the homolateral limb of a patient with breast cancer and lymphedema. Now, other conditions represent STS. It's a rare condition. The diagnosis is easier in the presence of single or multiple purple nodules. Even though other dermatological aspects have been reported, no study has grouped its characteristics. Aim Evaluate the dermatological characteristics of classical STS (c‐STS). Methods and Results We report a patient with chronic lymphedema with a history of recurrent erysipelas that rapidly developed multiple papules in the superior limb. It was initially diagnosed as bullous erysipelas, but unsatisfactory evolution led to biopsy, which demonstrated an unsuspected epithelioid angiosarcoma. We have also performed a review of dermatologic aspects of c‐STS using PubMed and Lilacs databases. PICTOS methodology and PRISMA flow chart were considered. The main dermatological aspects associated with c‐CTS were summarized. Using a systematic evaluation from 109 articles, 29 were selected and 44 patients were described to whom we added one case. The mean time with lymphedema was 10 years. Of the patients analyzed, 97.2% were female; 95.6% were submitted to radical mastectomy; 81.2% presented with multiple lesions, 67.4% of the lesions were reported as nodules or tumors, 53.4% were purple, 33.4% were associated with an ecchymotic halo, and 33.4% were ulcerated lesions. Conclusion When evaluating patients with chronic lymphedema with new dermatological abnormalities, clinical suspicion, or unfavorable evolution, the knowledge of clinical signs is important for diagnosis, and a biopsy must be considered. Papules associated with erythematous‐wine color and bluish hematoma aspect must raise clinical suspicion.

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“…[8] Other morphological forms are plaques, diffuse inflammatory rash and alopecia neoplastica. [25] Scar infiltration and carcinoma erysipelatoides[9] were commonly seen in other malignancies especially breast carcinoma. The mode of metastasis to skin from the primary tumor are (1) vascular or lymphatic embolization, (2) contiguous spread, and (3) direct implantation during surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous metastases presenting as genital ulcer disease

Vasuki

Durgalakshmi

Latha

2014

Indian J Sex Transm Dis

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Cutaneous metastasis from an internal organ malignancy is rare and as, the presenting sign of malignancy is an uncommon phenomenon. Their presence, signals a poor prognosis. We report a case of 50-year-old female who was referred to sexually transmitted diseases - out patient department, with complaints of multiple genital ulcers to rule out sexually transmitted infections. After thorough evaluation, she was found to be a case of carcinoma cervix with metastatic squamous cell carcinomatous deposits on external genitalia. This case was unique because of relatively asymptomatic nature of internal malignancy and atypical presentation of carcinoma cervix as cutaneous metastasis.

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Approach to the Patient With Presumed Cellulitis

Cited by 19 publications

References 96 publications

Cellulitis: diagnosis and management

Cellulitis: diagnosis and management

Unsuspected Stewart–Treves syndrome clinically mimicked by apparent bullous erysipelas and a systematic review of dermatological presentations of the classical Stewart–Treves syndrome

Cutaneous metastases presenting as genital ulcer disease

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