Necrotizing fasciitis differential diagnosis
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Necrotizing fasciitis must be differentiated from other diseases that cause erythema, pain, edema and necrosis of soft tissues such as sunburn, cellulitis, erysipelas, diabetic myonecrosis and vasculitis.[1]
Differential Diagnosis
Necrotizing fasciitis must be differentiated from:[1] [2][3]
Early stage
- Muscle strains
- Viral illness
- Thrombosis
- Sprain or exacerbation of gout
- Sunburn or an allergic rash
Late stage
- Non-necrotizing fasciitis (eosinophilic fasciitis, paraneoplastic fasciitis, nodular fasciitis, and proliferative fasciitis)
- Cellulitis
- Dermatomyositis
- Erysipelas
- Vasculitis (Lupus myofasciitis, Churg-Strauss Vasculitis and others)
- Graft-versus-host disease (GVHD)
- Diabetic myonecrosis
- Compartment syndrome
- Lymphedema
- Phlegmasia cerulea dolens
- Myxedema
- Gastroenteritis
- Necrotizing pyoderma gangrenosum
References
- ↑ 1.0 1.1 Wong CH, Wang YS (2005). “The diagnosis of necrotizing fasciitis”. Curr Opin Infect Dis. 18 (2): 101–6. PMID 15735411.
- ↑ Schmid MR, Kossmann T, Duewell S (1998). “Differentiation of necrotizing fasciitis and cellulitis using MR imaging”. AJR Am J Roentgenol. 170 (3): 615–20. doi:10.2214/ajr.170.3.9490940. PMID 9490940.
- ↑ Ayestaray B, Dudrap E, Chartaux E, Verdier E, Joly P (2010). “Necrotizing pyoderma gangrenosum: an unusual differential diagnosis of necrotizing fasciitis”. J Plast Reconstr Aesthet Surg. 63 (8): e655–8. doi:10.1016/j.bjps.2010.02.008. PMID 20202917.
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