Differential Diagnosis of Cellulitis

Stasis dermatitis

  • Bilateral leg involvement; circumferential erythema and swelling; usually no fevers
  • 雙腿;周圍紅斑和腫脹;通常不發燒

Contact dermatitis

  • Unusual patterns of distribution; pruritus; no fevers

Inflammatory arthritis

Erythema overlies a joint; pain with range of motion

Deep venous thrombosis/ thrombophlebitis

Deep pain in calf; linear venous cord; usually no fevers

Hypersensitivity/drug reaction

  • History of medication, allergen, insect bite exposure; erythema doesn’t spread as fast as cellulitis
  • 用藥史、過敏原、昆蟲叮咬史;紅斑的傳播速度不如蜂窩織炎

Pyoderma gangrenosum

  • Nodular, bullous, ulcerated lesions; usually on anterior shin; often associated with inflammatory bowel disease or collagen vascular syndromes
  • 結節性,大皰性,潰瘍性病變;
  • 通常在前脛骨上;通常與ulcerative colitis 或collagen vasuclar syndrome
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Erythema migrans (Lyme disease)

Well-demarcated erythema; annular; usually not painful; slow-growing