Lymphangitis

lymphangitisLymphangitis is an inflammation of the lymphatic vessels. Causes of acute lymphangitis is the same as for acute lymphadenitis the (see). Surface acute lymphangitis you can often see on the limbs. There are two forms of lymphangitis: reticular (net), i.e. inflammation of many small lymphatic vessels, and Troncoso (stem) is an inflammation of one or more larger vessels. When the reticular lymphangitis in the nidus of infection (a boil, purulent wound or abrasion and so on) appears bright red - solid or mottled marble). Unlike faces (see), it has no sharp edges. For truculence of lymphangitis characteristic narrow red stripes running from the site of infection toward the regional lymph nodes. In the course of these bands sometimes felt a painful lump in the form of a cord or beads. A feverish state, in cases of severe chills, pain small (burning). Almost always priuchayut the regional lymph nodes (often develops acute lymphadenitis).
In an unfavorable course of lymphangitis goes into a festering with the formation of several subcutaneous abscesses or cellulitis in the course of the vessel. In severe cases, possible sepsis (see).
Diagnosis of reticular lymphangitis is not difficult; trunkway lymphangitis (especially at the lower leg) should be differentiated from superficial thrombophlebitis (see): when the last seal along the vein are more pronounced and appear before redness of the skin.
Treatment: first of all processing focus of infection (as in lymphadenitis), rest. Massage is invalid. Heat (was compresses, warm heating pad), antibiotics - on doctor's prescription. With festering - cuts. Constant monitoring of regional lymph nodes. Deep acute lymphangitis may have different localization - from the limbs to the intestine mesentery. Even to the extremities is recognized by labour (similar to deep thrombophlebitis). Treatment in the hospital.
Chronic lymphangitis can join rojistoe inflammation, varicose ulcer (see Varicose veins) or has tuberculosis etiology. Leads to significant violations of the lymph drainage, education, persistent edema, sometimes to elephantiasis (see). Patients with signs of chronic lymph be taken to the surgeon.

Lymphangitis (lymphangitis; lymph + GK. angeion-vessel - is an inflammation of the lymphatic vessels. Lymphangitis occurs most often due to infiltration through broken skin or mucous membrane of many bacteria. There are acute and chronic L.
Acute lymphangitis. Acute lymphangitis in the inflammatory process involved or only lymphatic capillary network or larger lymphatic vessels. In accordance with this distinguished L. mesh and stem.
Pathogens (often streptococci and staphylococci) and their toxins with the flow of lymph penetrate into interstitial cracks or through multiple anastomoses in the deeper sections of the vessels. The inflammatory process affecting the whole of the wall lymph vessel, sometimes goes to surrounding tissues, skin, subcutaneous tissue and other
Pathologic anatomy L. determined by inflammation of the walls of the lymph vessels, they experience swelling and increased permeability, leukocytic infiltration tissue along the lymphatic vessel (perlinganit). Due to the collapse of fibrin lymph in the openings of the receptacles produce blood clots, there is extensive thrombosis of lymphatic vessels with persistent lymphostasis.
When the net lymphangitis is an inflammatory process begins in surface network smallest of lymphatic vessels around the infected hearth (wounds, boils and other) appear redness, soreness, and then narrow dashed red lines, reaching toward the regional lymph nodes. The temperature rises up to 39C, appear chills and phenomena of intoxication (coated tongue, headaches, and so on).
The clinical picture net L. resembles a face, but hyperemia has no distinct boundaries, characteristic of erysipelas.
Stem lymphangitis is characterized by the appearance of the skin bright red stripes running from the primary tumor to the 'regional lymph nodes. In the early days there has been only a dull ache along the lymphatic vessels. Then you receive the seal in the area of these bands, they become more painful, you experience swelling and tension surrounding tissues. At transition of the inflammatory process on the surrounding tissue redness increases, it becomes solid.
In acute L. deep lymphatic vessels watch swelling, pain, and early appearance
lymphadenitis (see). Deep lymphatic ways are affected at the same time or after a developed surface lymphangitis. Inflammation or subside, or there is a festering you receive one or more of ulcers along the lymphatic vessels, can develop deep subfascial phlegmon. In case of untimely and incomplete treatment may develop sepsis.
Diagnosis of surface L. presents no difficulties. Sometimes it can be mixed with a mug or phlebitis, while diffuse swelling of the skin - with cellulitis. When deep L. you can put a mistaken diagnosis of thrombophlebitis.
Treatment L. should be aimed at elimination of the primary tumor, to stop the flow of infection in the lymph vessels. Abscesses is to be opened, the wound treat accordingly. It is necessary to establish peace and improve the blood supply to the affected limb. With this purpose it is shown immobilization limbs, bed rest, heat, compresses, ointment dressing. In the formation of abscesses along the lymphatic vessels - timely cuts. Any movement, massage is contraindicated. Under the overall effects than bed rest, shown restorative treatment, sulfanilamida, antibiotics. Formed abscesses, cellulitis treated according to General rules.
Chronic limphangit usually called slabovrajenne pathogens. Specific limphangit more often tuberculous origin. They are characterized by a blockage of a deep lymphatic vessels due to lymph stasis, thrombosis lymphatic vessels with the formation of edema.
Treatment. In chronic L. shown physiotherapy, mud treatment, radiotherapy. Patients L. subject outpatient treatment, and the development of heavy HP common phenomena - hospitalization.
Prevention HP is reduced to the timely treatment of small traumatic lesions, pustular skin diseases, abscesses, etc.