this is a secondary non-specific inflammation of the vessels of the lymphatic system, which complicates the course of other inflammatory diseases. Most often a superficial lymphangitis is observed on the limbs.
Given the nature and intensity of the expression, lymphangitis, treatment which is a lengthy process that is subdivided into serous (or simple) and purulent. Given the depth of the location, there are superficial and deep lymphangitis.
Lymphangitis has two forms is a reticular (mesh) and trunkway lymphangitis. When reticular lymphangitis a large number of superficial lymphatic capillaries are involved in the inflammatory process. Inflammation of the lymph vessels (one or more) observed in crancularn the lymphangitis.
The clinical course of disease are acute and chronic lymphangitis.
Acute lymphangitis inherent infectious nature. Previously, infected wounds, abrasions, abscesses and cellulitis can become a hotbed of development of primary infection. The complication of other inflammatory processes is associated with high incidence of microtrauma to the skin, an abundance of pathogenic microorganisms (usually on the legs) and peculiarities of circulation of lymph in this area of the body. Using the current of the lymph fluid, streptococci and staphylococci fall into the interstitial space in the deeper sections of the blood vessels. In the process of inflammation involves the whole wall of the lymphatic vessel, sometimes goes on the skin or subcutaneous tissue. Blood clots that are formed in the gaps between the vessels, can develop into extensive thrombosis of lymphatic vessels, accompanied by persistent lymphostasis. During the development of superficial lymphangitis after or seen him lose deep lymphatic pathways. Inflammation either decrease or escalate into sepsis, which is manifested through the lymphatic ducts. Podrastali can develop cellulitis. If you ignore the treatment or delayed intervention this disease can cause sepsis.
Chronic lymphangitis is manifested due to the impact of low virulent pathogens in the body. This process causes obstruction of the deep lymphatic vessels due to stasis of lymph. The symptoms of chronic lymphangitis is usually accompanied by prolonged swelling due to a blockage deep lymphatic trunks and lymphedema.
Acute lymphangitis – inflamed only capillary lymphatic system or major lymphatic vessels.
When reticular lymphangitis in the area of inflammation appears solid or spotted redness, which does not have sharp edges unlike erysipelas.
Narrow reddish stripes characterize trunkway lymphangitis. These bands start in the inflamed area and going to regional lymph nodes, causing lymphangitis regional. When probing for these strips, sometimes marked painful seal. Noticed the appearance of edema and stress on adjacent tissues. Redness increases when the inflammatory area is increasing its size and affecting the surrounding tissue.
In parallel with other processes occurs and the increase in body temperature, there is a possibility of fever, there is a General weakness of the body, a faint burning sensation. In almost all cases, swell lymph nodes.
Local hyperemia not observed in deep lymphangitis, but quickly increased pain and increased swelling. With a deep probing shows sharp and severe pain.
Chronic lymphangitis is accompanied by blockage of the ducts of the lymph vessels and cause swelling. Chronic lymphangitis can join with erysipelas, varicose inflammation, or have TB etiology.
Chronic lymphangitis is the cause of the violation of the lymph circulation through the body, the formation of edema and elephantiasis. Patients suffering from stagnation of lymph, must undergo a consultation with the surgeon.
To diagnose acute reticular lymphangitis, as a rule, simple inspection, but it should be separated from
. It is very important to identify the initial source of inflammation.
Trunkway acute lymphangitis differentialsa from surface
Deep lymphangitis causes difficulties with the diagnosis of the disease. To determine it is a comprehensive examination.
Lymphangitis, symptoms of which depend on the form of the disease, has the treatment, which also varies from the shape and form of the disease. In acute lymphangitis, you first need to pay attention to the primary source of the disease which was the cause of the inflammation of the lymphatic system. Compulsory antibacterial treatment of infected wounds, it is necessary to perform an autopsy abscesses, abscesses, perform drainage and sanitation. In acute lymphangitis, you need to create a fully relaxed atmosphere and improve blood circulation in the affected limb. Advised to observe bed rest and immobilize the limb. In the acute phase for anti-inflammatory treatment is cooled at the desired location. The doctor issued a prescription for anti-inflammatory and antihistamine medications.
Surgical hospital indicated for acute deep lymphangitis.
After the acute phase should be carried out heat treatments, apply a hot compress and use ointment dressings.
If the patient has chronic, slowly flowing lymphangitis, assigned ointment dressings topical application, was compresses or containing DMSO, which have a warming effect. Apply therapeutic mud and physiotherapy. When raging inflammation is assigned to radiotherapy.