Peculiar clinical features of cellulitis in peripheral lymphedema.
Lymphology
; 51(2): 47-53, 2018.
Article
em En
| MEDLINE
| ID: mdl-30253454
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.
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Base de dados:
MEDLINE
Assunto principal:
Celulite (Flegmão)
/
Linfedema
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article