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Peculiar clinical features of cellulitis in peripheral lymphedema.

Authors
  • Suehiro, K1
  • Morikage, N1
  • Ueda, K1
  • Samura, M1
  • Takeuchi, Y1
  • Nagase, T1
  • Mizoguchi, T1
  • Hamano, K1
  • 1 Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan. , (Japan)
Type
Published Article
Journal
Lymphology
Publication Date
Jan 01, 2018
Volume
51
Issue
2
Pages
47–53
Identifiers
PMID: 30253454
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Although the occurrence of cellulitis in lymphedema (LE) is believed to be an infection-related event, many findings in its clinical course seem to suggest that it is unlikely to be an infection. Therefore, we tried to clarify the specific features of cellulitis in LE. In-hospital courses of cellulitis obtained from medical charts were reviewed in the patients with leg LE (LE; 24 patients, 72admissions), chronic venous insufficiency (CVI; 28 patients, 29 admissions), and leg cellulitis secondary to wound infection without underlying disease (N; 42 patients, 42 admissions). The patients with LE complained of less local pain (peak numerical scale; LE: 1.4 ± 1.7, CVI: 4.1 ± 2.5, N: 3.2 ±2.0, p < 0.0001), showed an abnormally higher peak procalcitonin level (LE: 33.8 ± 34.8 (N = 7), CVI: 2.9 ± 5.8 (N = 8), N: 0.4 ± 0.6(N = 10), p < 0.05), and required fewer antibiotics (LE: 1.1 ± 0.3, CVI: 1.8 ± 0.9, N: 1.5 ± 0.9, p < 0.0001). These findings suggested that the occurrence of cellulitis in LE seems unlikely to be an infection-related type of cellulitis similar to that found in CVI. Copyright by International Society of Lymphology.

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