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Lower Limb Erythema

Overview

    • Look For

    • Redness - unilateral, bilateral, localised or diffuse.
    • Causes of Lower Limb Erythema

    • Dermatosis
    • Infection - cellulitis, lymphangitis, necrotising fasciitis
    • Vascular - deep venous thrombosis, superficial thrombophlebitis, venous insufficiency
    • Lipodermatosclerosis (fibrosis of subcutaneous fat)
    • Lymphoedema
    • Interpretation

    • Unilateral limb erythema, swelling, warmth and tendernessSuggestive of infection or deep venous thrombosis
    • Superficial area of erythema tracking along the course of a superficial veinSuggestive of superficial thrombophlebitis
    • Bilateral erythema and swellingSuggests lymphoedema
    • Inverted bowling pin appearance with erythema and indurationSuggests lipodermatosclerosis
    • Dependent rubor - dusky-red discolouration when the limb is elevated above the heartA sign of peripheral vascular disease
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Associated Diseases
BETA

Venous Disease
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