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Cellulitis

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Clinical features

Look for a possible cause b    
  • a site of entry (e.g. leg ulcer, toe-web intertrigo, traumatic wound)
  • lymphoedema, leg oedema or venous insufficiency
  • obesity 

Why?

  • These clinical features increase the risk of cellulitis developing.
  • Diabetes, alcohol misuse and smoking are not significantly associated with an increased risk of cellulitis.

Lymphoedema and a site of entry increase the risk of cellulitis

Outcome Risk Factor PEER OR
(95% CI)
NNH
(95% CI)
cellulitis  b    lymphoedema
independent
0.1% 71.2
(5.6 to 908)
15
(2 to 220)
  site of entry
independent
  23.8
(10.7 to 52.5)
45
(20 to 100)
  leg oedema (excluding venous insufficiency)
independent
  2.5
(1.2 to 5.1)
670
(250 to 5000)
  venous insufficiency
independent
  2.9
(1.0 to 8.7)
530
(130 to infinity)
  overweight
independent
  2.0
(1.1 to 3.7)
1000
(370 to 10000)

 

Expiry date: January 2004
Levels of Evidence used in grading these guides

Authors   J   Epling , CM   Ball
Reviewer   C   Conlon
CAT Writers   J   Epling , CM   Ball