Dermatology Book

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Nodular Lymphangitis

Aka: Nodular Lymphangitis, Sporotrichoid Lymphocutaneous Infection
  1. See Also
    1. Cellulitis
    2. Subcutaneous Nodule
  2. Causes
    1. Common Causes
      1. Sporotrichosis: Sporothrix schenckii (fungus)
        1. Classic prototype of 'sporotrichoid' infection
        2. Gardening, splinters or Animal Bites or scratches
      2. Nocardia brasiliensis (Nocardiosis)
        1. Gardening or splinter exposure
      3. Mycobacterium marinum
        1. Aquariums, fish handling or other water exposure
      4. Leishmania brasiliensis (Leishmaniasis)
        1. Limited to sandfly endemic areas
    2. Other Causes
      1. Nocardia asteroides
      2. Atypical Mycobacteria
      3. Francisella tularensis
      4. Blastomyces dermatidis
      5. Coccidioides immitis
      6. Cryptococcus neoformans
      7. Histoplasma capsulatum
      8. Streptococcus Pyogenes
      9. Staphylococcus aureus
      10. Pseudomonas pseudomallei
      11. Bacillus anthracis (Anthrax)
      12. CowpoxVirus
  3. Signs and Symptoms
    1. Exposure to soil or water borne organisms
    2. Granulomatous reaction up extremity lymph chain
      1. Nodular lesions
      2. Local tissue necrosis
      3. Abscess formation
    3. No systemic symptoms
  4. Differential Diagnosis
    1. See Subcutaneous Nodule (e.g. Rheumatoid Nodule)
    2. Cellulitis with ascending lymphangitis
  5. References
    1. Kostman (1993) Ann Intern Med 118:884 [PubMed]
    2. Tobin (2001) Am Fam Physician 63:326-32 [PubMed]

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