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[Herpetic recurrent upper limb lymphangitis].

J Cendras1, A Sparsa, P Soria

  • 1Service de dermatologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges, France.

La Revue De Medecine Interne
|November 6, 2007
PubMed
Summary
This summary is machine-generated.

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Recurrent upper limb lymphangitis in an immunocompetent patient was linked to herpetic whitlow. Antiviral prophylaxis with valaciclovir effectively prevented further episodes, highlighting the importance of considering viral causes.

Area of Science:

  • Infectious Diseases
  • Dermatology

Background:

  • Upper limb lymphangitis typically results from bacterial infections following hand or forearm wounds.
  • Treatment usually involves antibiotics, with rapid improvement expected.

Observation:

  • A 28-year-old immunocompetent woman experienced recurrent episodes of arm lymphangitis.
  • These episodes were associated with vesicles on an erythematous base on her index finger.
  • Symptoms resolved spontaneously within 10 days without antibiotic treatment.

Findings:

  • Viral culture confirmed a herpetic origin for the lymphangitis.
  • This case represents a rare instance of upper limb lymphangitis complicating herpetic whitlow.
  • Prophylactic valaciclovir treatment led to no recurrence at two-year follow-up.

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Implications:

  • Clinicians should consider viral causes, such as herpes simplex virus, in cases of recurrent upper limb lymphangitis.
  • Recognizing viral lymphangitis can prevent diagnostic delays and inappropriate antibiotic use.
  • Antiviral therapy may be effective for managing recurrent herpetic lymphangitis.