Postlymphography Linear Dermatitis

Hasson, Ariel; Zamora, E.; Gutiérrez, Mildred; Arias, David Díaz; Martín, Lucía; Barat, A.; Requena, Luis; Castro, Antônio de

doi:10.1159/000247701

Cited by 2 publications

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“…Noninfectious dermatitis following a lymphatic course has been described after lymphatic opacification by Evans blue [12] or a radiopaque iodized substance [13], use of topical cantharidin [14, 15] or intralesional bleomycin [16] in the treatment of verruca vulgaris, accidental administration of polysaccharide [17] and local corticosteroid injection [18]. In our observations, a toxic or allergic process induced by an arthropod bite can be hypothesized, with local injection of a toxin contained in the secretion.…”

Section: Discussionmentioning

confidence: 99%

Superficial Lymphangitis after Arthropod Bite: A Distinctive but Underrecognized Entity?

et al. 2008

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Background: Acute bacterial lymphangitis is a common occurrence after skin damage. This diagnosis is often made in case of red linear streaks after arthropod bites, leading to the prescription of oral antibiotics. In this setting, noninfectious superficial lymphangitis after arthropod bites, an eruption rarely mentioned in the medical literature, appears as a diagnostic challenge. Objective: Our purpose was to study the clinical and histopathological features of this underrecognized condition. Methods: We collected the observations of six consecutive patients seen between the years 2003 and 2006, who developed an acute linear erythematous eruption along lymphatic vessels, mimicking common bacterial lymphangitis. Standard histological examinations were completed by immunopathological staining using the monoclonal antibody D2-40, a highly selective marker of lymphatic endothelium. Extensive review of the literature about acute noninfectious superficial lymphangitis was performed. Results: The clinical presentation and histological findings excluded an infectious etiology and suggested superficial lymphangitis after an arthropod bite in all the observations. Conclusions: This article analyzes the clinical and histological features of noninfectious superficial lymphangitis after arthropod bite, a benign underrecognized condition mimicking common bacterial lymphangitis. Physicians should be aware of this benign reaction to avoid the useless prescription of antibiotics.

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Section: Discussionmentioning

confidence: 99%

Superficial Lymphangitis after Arthropod Bite: A Distinctive but Underrecognized Entity?

et al. 2008

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Isotopic Response

et al. 1995

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The new term, "isotopic response," describes the occurrence of a new skin disorder at the site of another, unrelated, and already healed skin disease. It is suggested that the term "isotopic response" be included in the lexicon (glossary) of dermatology. Introducing the new term and classifying all the cases under a single key word, will make it possible to locate and collect them easily and to search for the mechanism underlying this phenomenon.

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Postlymphography Linear Dermatitis

Cited by 2 publications

References 2 publications

Superficial Lymphangitis after Arthropod Bite: A Distinctive but Underrecognized Entity?

Superficial Lymphangitis after Arthropod Bite: A Distinctive but Underrecognized Entity?

Isotopic Response

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