Ascending upper limbs lymphangitis
A 7 year old boy presented with ascending erythema of his left hand with erythematous extension to his axilla. At presentation, the boy was afebrile, well appearing and complained of itching and swelling of the hand, which started the evening prior.on examination there were two insect bite marks on the index finger with erythematous , non tender swelling inclusive of the index, middle fingers and dorsum of the hand with extension via a superficial fine erythematous line from the wrist to the axilla via the cubital fossa. A clinical diagnosis of lymphangitis was made.Treatment was commenced with Flucloxacillin and immobilisation. Twenty four hours later, the erythema had faded substantially. He had no complications or reoccurrences.
BMJ Case reports 2017; doi 10.1136/bcr-2017-221602