Lymphangitis - Lymphangitis
What is the disease? Inflammation of lymphatic vessels and the surrounding tissues occurs when bacteria enter the lymphatic vessels and cause inflammation. When inflammation of lymphatic vessels spreads to the central nervous system, it is called “lymphoma.” What is the cause? mainly How symptoms manifestWhen you get sick, you feel a sudden chill and general fatigue, and sometimes you may develop a high fever of nearly 40°C. In areas affected by lymphangitis, red lines (inflamed lymphatic vessels) appear along the long axis of the body surface, but tenderness (pain when pressed) is generally mild. In addition, swelling of the surrounding lymph nodes is observed. In the chronic stage, the inflamed area becomes hard. Testing and diagnosisThe red line along the long axis of the limbs is visible from the outside, and there is a feeling of heat and tenderness in the same area, so in most cases it can be diagnosed by visual inspection. It is also characterized by an increase in white blood cells and high fever associated with bacterial infection. It is important to distinguish this from phlebitis, which rarely causes fever and does not have red lines on the skin or swollen lymph nodes. Treatment methods In the acute phase, In the chronic stage, when swelling is severe, elastic stockings are worn. When the lymph nodes are clearly swollen but blood tests do not show much inflammation, a lymph node biopsy (a test to examine tissue) is performed to see if there is a hidden disease throughout the body. What to do if you notice an illnessIf you suspect lymphangitis, you need to treat the wound and administer antibiotics as soon as possible. If you leave it untreated, it can develop into sepsis, which can be very difficult to treat, so please see a doctor at your local clinic as soon as possible. Yoshiaki Maruyama Source: Houken “Sixth Edition Family Medicine Encyclopedia” Information about the Sixth Edition Family Medicine Encyclopedia |
どんな病気か リンパ管とその周囲の組織の炎症で、細菌がリンパ管内に入り込み、炎症を引き起こします。リンパ管の炎症が中枢に広がると、“リンパ 原因は何か 主に 症状の現れ方病気にかかると、急激な寒気と全身のだるさを感じ、時に40℃近くの高熱が出現することもあります。リンパ管炎を起こした場所では、体表面の長軸に沿って赤い線（炎症を起こしたリンパ管）が現れますが、一般に圧痛（押すと痛む）は軽くてすみます。また、所属リンパ節のはれが認められます。 慢性期になると、炎症を起こした場所は硬い 検査と診断四肢の長軸方向に沿った赤い線は外から見え、また同部の熱感と圧痛があり、視診で診断可能なことがほとんどです。細菌感染に伴い、白血球の増加や高熱がみられるのも特徴です。 静脈炎との区別が重要ですが、静脈炎では発熱はまれで、皮膚の赤い線やリンパ節のはれなどもみられません。 治療の方法 急性期には、 慢性期でむくみが強い時には、弾性ストッキングをはきます。リンパ節が明らかにはれているのに血液検査で炎症反応があまりみられない時には、リンパ節生検（組織を取って調べる検査）を行い、全身の病気が隠れていないかをみます。 病気に気づいたらどうするリンパ管炎を疑った時は、傷の手当てと、早めに抗生剤の投与が必要となります。放置して敗血症になると治療が非常に困難になるので、早めに近くの内科を受診してください。 丸山 義明 出典 法研「六訂版 家庭医学大全科」六訂版 家庭医学大全科について 情報 |
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