2 image for cellulitis

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Here are 2 clinical images of cellulitis from the medical textbooks:

Image 1 - Cellulitis of the lower leg
Cellulitis - severely inflamed lower leg with blistering and intense erythema
Fig. 14.17 Cellulitis - Shows intense erythema, edema, blistering, and skin breakdown extending from the ankle up the lower leg. The erythema is diffuse and non-demarcated, with areas of vesicle rupture and discharge - classic for suppurative subcutaneous inflammation. Source: Andrews' Diseases of the Skin - Clinical Dermatology

Image 2 - MRSA Abscess with Cellulitis
MRSA abscess with surrounding cellulitis
Fig. 107.5 MRSA Abscess With Cellulitis - Demonstrates a central fluctuant abscess (staphylococcal) surrounded by the erythematous, swollen soft tissue characteristic of cellulitis. This combination pattern - central pus collection with peripheral spreading infection - is a common MRSA presentation. Source: Rosen's Emergency Medicine: Concepts and Clinical Practice

Key clinical features visible in these images:
  • Erythema, warmth, and swelling of soft tissue
  • Ill-defined (non-demarcated) borders in classic cellulitis (Image 1), vs. well-demarcated abscess center with surrounding cellulitis (Image 2)
  • Blistering/vesicle formation in severe cases
  • Most common causative organisms: Streptococcus (~75%) and Staphylococcus (including MRSA)

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Here are 4 more clinical images related to cellulitis, covering different types and anatomical locations:

Image 3 - Giant Cellulitis-like Sweet Syndrome (thigh)
Giant cellulitis-like erythematous plaque on thigh
Fig. 36-4 Histiocytoid Giant Cellulitis-like Sweet Syndrome - Widespread erythematous plaque on the lateral thigh in a 72-year-old woman with myelodysplastic syndrome. This is a rare neutrophilic dermatosis that closely mimics true bacterial cellulitis. Source: Fitzpatrick's Dermatology, Vol. 1-2

Image 4 - Dissecting Cellulitis of the Scalp (Andrews')
Dissecting cellulitis of scalp - early stage with alopecia patches
Fig. 13.21 Dissecting Folliculitis (Dissecting Cellulitis of the Scalp) - Shows patchy alopecia with perifollicular inflammation on the scalp. This chronic suppurative condition forms intercommunicating sinus tracts and predominantly affects adult Black men at the vertex and occiput. Source: Andrews' Diseases of the Skin - Clinical Dermatology

Image 5 - Dissecting Cellulitis of the Scalp (Fitzpatrick's)
Dissecting cellulitis scalp - advanced with confluent suppurative nodules
Figure 88-7 Dissecting Cellulitis - More advanced disease showing confluent suppurative, crusted nodules over the scalp vertex. Follicular occlusion leads to abscesses and deep dermal sinus tracts, ultimately causing scarring alopecia. Source: Fitzpatrick's Dermatology, Vol. 1-2

Image 6 - Facial Cellulitis (H. influenzae / Buccal Cellulitis)
Facial cellulitis with perinasal swelling and erythema
Figure 154-11 (A) - Facial/Buccal Cellulitis - Unilateral facial swelling with erythema and warmth around the nose/buccal region, characteristic of Haemophilus influenzae type b cellulitis seen in young children (3-24 months). The affected area classically has a violaceous hue and is associated with bacteremia. Source: Fitzpatrick's Dermatology, Vol. 1-2

Summary of images shown (all 6):
#TypeLocationSource
1Classic cellulitis with blisteringLower legAndrews' Diseases of the Skin
2MRSA abscess + cellulitisLower back/buttockRosen's Emergency Medicine
3Giant cellulitis-like Sweet syndromeThighFitzpatrick's Dermatology
4Dissecting cellulitis of the scalp (early)ScalpAndrews' Diseases of the Skin
5Dissecting cellulitis of the scalp (advanced)ScalpFitzpatrick's Dermatology
6Facial/buccal cellulitis (H. influenzae)FaceFitzpatrick's Dermatology

Urticaria and angioedema images

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Here are the clinical images for urticaria and angioedema from the medical textbooks:

Image 1 - Multiple Urticaria & Angioedema Subtypes (5-panel)
Clinical presentation of dermographism, cholinergic urticaria, contact urticaria, and hereditary angioedema
Figure 41-1 - A composite showing:
  • (A) Symptomatic dermographism - linear wheal formation on skin following scratching
  • (B) Dermographism on the forearm - smooth, pale raised wheal on erythematous background
  • (C) Cholinergic urticaria - small pinpoint wheals on the back following exercise/sweating
  • (D) Local contact urticaria from hot water immersion (hand)
  • (E) Hereditary angioedema (HAE) - classic facial swelling with marked lip/cheek edema in a child
Source: Fitzpatrick's Dermatology, Vol. 1-2

Image 2 - Urticaria Morphological Variants (4-panel)
Acute urticaria, chronic spontaneous urticaria, annular and flower-shaped CSU
Figure 41-2 - Showing the range of urticarial presentations:
  • (A) Acute urticaria - confluent erythematous wheals with irregular borders
  • (B) Chronic spontaneous urticaria (CSU) - discrete elevated wheals on the forearm
  • (C) CSU with annular (ring) shape - classic serpiginous/circular wheal pattern on the wrist
  • (D) CSU with flower shape - polycyclic wheal configuration on the legs
Source: Fitzpatrick's Dermatology, Vol. 1-2

Image 3 - Angioedema of the foot (drug-induced)
Angioedema - severe swelling and discoloration of toes and foot
Fig. 6.29 Angioedema - Severe angioedema of the foot showing marked swelling with dusky/ecchymotic discoloration of the toes and diffuse erythema of the dorsum - a deep dermal/subcutaneous edema pattern. Can be drug-induced (e.g., NSAIDs, ACE inhibitors). Source: Andrews' Diseases of the Skin - Clinical Dermatology

Image 4 - Angioedema of the lips (tongue angioedema)
Angioedema of the lips and tongue - massive swelling of the lower lip
Fig. 7.19 Angioedema of the lips - Classic angioedema showing massive swelling of the lower lip and protruding tongue. This is a potentially life-threatening presentation when involving the tongue/larynx, causing airway obstruction. Commonly associated with ACE inhibitors (Blacks are ~5x higher risk), penicillin allergy, or HAE. Source: Andrews' Diseases of the Skin - Clinical Dermatology

Key clinical distinctions visible in these images:
FeatureUrticariaAngioedema
DepthSuperficial dermisDeep dermis/subcutaneous
PruritusProminentAbsent or mild (pain > itch)
Duration<24 hrs per whealHours to days
LocationAnywhere on skinLips, tongue, eyelids, genitalia
DangerAnaphylaxis riskAirway obstruction (laryngeal)
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