Lymphedema Caused by Infections

delayed breast cellulitis, recurrent cellulitis, recurrent erysipelas, soft tissue infections, Dermatolymphangioadenitis (DLA), Flesh Eating Bacteria, Bacterial Infections, Strep Infections, bacterial cellulitis, prophylactic antibiotics

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Lymphedema Caused by Infections

Postby patoco » Wed Apr 11, 2007 1:04 pm

Lymphedema Caused by Infections

Cellulitis and Erysipelas

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Persistent Periorbital and Facial Lymphedema Associated With Group A
beta-Hemolytic Streptococcal Infection (Erysipelas).

Ophthal Plast Reconstr Surg. 2007 March/April

Buckland GT 3rd, Carlson JA, Meyer DR.
*Department of Ophthalmology; and daggerPathology, Division of
Dermatology and Dermatopathology, Albany Medical College, Albany, New
York, U.S.A.

Chronic lymphedema is both a risk factor for and consequence of
erysipelas (cellulitis). We report a case of a 62-year-old woman with
rheumatoid arthritis treated with etanercept and prednisone, who
developed chronic periorbital lymphedema 2 months after Group A beta-
hemolytic streptococcus infection of the face. She had significant
ptosis OS and thickened, hyperpigmented periorbital skin. Biopsies
were consistent with chronic lymphedema. Of note, on 6 months follow-
up, the patient's appearance was improved though she still had
residual ptosis. A period of extended observation may be warranted in
these cases.

PMID: 17413641 [PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/entrez/quer ... med_docsum

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Edema as a risk factor for multiple episodes of cellulitis/erysipelas of the lower leg

Date: 4/9/07 9:36 AM EST
Author: Patoco2

Edema as a risk factor for multiple episodes of cellulitis/erysipelas of the lower leg

Br J Dermatol. 2006 Nov

CLINICAL AND LABORATORY INVESTIGATIONS

Cox NH.
Dermatology Department, Cumberland Infirmary, Carlisle CA2 7HY, UK. neil.cox@ncumbria-acute.nhs.uk

BACKGROUND: Cellulitis of the lower leg is a common problem with considerable morbidity. Risk factors are well identified but the relationship between consequences of cellulitis and further episodes is less well understood.

OBJECTIVES: To review risk factors, treatment and complications in patients with lower leg cellulitis, to determine the frequency of long-term complications and of further episodes, and any relationship between them, and to consider the likely impact of preventive strategies based on these results.

METHODS: Patients with ascending, presumed streptococcal, cellulitis of the lower leg were identified retrospectively from hospital coding. Hospital records, together with questionnaires to both general practitioners and patients, were used to record subsequent complications and identifiable risk factors for further episodes.

RESULTS: Of 171 patients, 81 (47%) had recurrent episodes and 79 (46%) had chronic oedema. The concurrence of these two factors was strongly correlated (P <>

CONCLUSIONS: This study demonstrates that the true frequency of postcellulitic oedema, as well as that of further episodes, is probably underestimated. Furthermore, there is a strong association between these factors, each of which is both a risk factor for, and a consequence of, each other, and for which intervention (reduction of oedema or more prolonged antibiotic therapy) may reduce the risk of recurrent infection. By contrast, self-reporting of toeweb maceration is low, so attempts to reduce the risk of recurrent cellulitis by treatment of tinea pedis or bacterial intertrigo may fail.

Blackwell Synergy

http://www.blackwell-synergy.com/doi/ab ... 06.07419.x

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Pat O'Connor
Lymphedema People
http://www.lymphedemapeople.com
patoco
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