Lymphangitis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vendhan Ramanujam M.B.B.S [2]Template:DV

Overview

Depending on etiologies lymphangitis has spectrum of clinical presentation

History and Symptoms

• Clinical manifestation of lymphangitis are variable, depending on the etiology. History and symptoms based on the classification as follows

Lymphangitis due to infectious etiology

Acute lymphangitis

Local manifestations

• Commonly effects the extremities
• Pain(throbbing in nature)
• Redness
• Swelling of the region
• Red streaks from the infected area to the regional lymph node

Systemic manifestations

• Systemic manifestations may develop before evidence of infection at site become apparent.
• Fever
• Chills
• Headache
• Loss of appetite
• Malaise
• Enlarged and tender lymph nodes
• Muscle aches

Chronic Granulomatous Lymphangitis

• Commonly effects the extremities
• Painless or painful subcutaneous nodule at the site of incoulation.
• Nodules may subsequently ulcerate at site on inoculation, as seen in case of Sporothrix schenckii.
• Slowly, multiple subcutaneous nodules appear and extend proximally along the course of lymphatics

Filarial lymphangitis

• Acute filarial lymphangitis(Acute adenolymphangitis) charcterize by:
  • High fever
  • Lymphangitis, extending peripherally from the lymph node
  • Recurrent episodes of headache, backache, epididymitis, and orchitis

Lymphangitis due to infectious etiology

Lymphangitis carcinomatosa

• Commonly involves the lung
  • Dyspnea(insidious in onset)
• Non-productive cough
• Chest pain
• Cyanosis
• Cachexia

References

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