In its earlier stages, pulmonary sarcoidosis is characterized microscopically by the presence of well-formed, usually nonnecrotizing granulomas that display a lymphangitic
distribution along the pleura, interlobular septa, and bronchovascular bundles.
Skin examination was remarkable for a solitary papular lesion at the site of tick bite surrounded by a small erythematous halo associated with discrete lymphangitic
streaking and painful enlarged left axillar lymph nodes.
It usually occurs by hematogenous or lymphangitic
dissemination, mainly to the skin, the central nervous system, manifesting as headache and hydrocephalus, and to the bones, with a penchant for axial structures such as the vertebrae, skull, sternum, and ribs (19-24).
Docetaxel-induced hypersensitivity pneumonitis mimicking lymphangitic
carcinomatosis in a patient with metastatic adenocarcinoma of the lung.
On postoperative day 2, the surgical lung biopsy demonstrated signet-ring cell pulmonary tumor embolism and lymphangitic
Chest CT demonstrated multiple poorly-circumscribed nodules and lymphangitic
involvement in both lungs indicating pulmonary metastasis.
carcinomatosis from squamous cell carcinoma of the cervix.
9,10] In a study done by Kreisman H et al, lymphangitic
carcinoma was the most common pattern of pulmonary parenchymal metastasis.
HRCT is utilized to narrow the diagnosis by distinguishing the centrilobular distribution of PLCH nodules from the periphymphatic distribution of sarcoidosis, silicosis, and lymphangitic
The presence of a red lymphangitic
streaking (lymphangitis) may be detected in a localized infection.
For example, thick, taut, fibrotic skin indicates a chronic problem, and redness and lymphangitic
streaks are found in cellulitis.
On August 28, after the skin lesion progressed to an eschar with lymphangitic
spread, the man consulted an infectious disease practitioner, who sent a biopsy specimen of the lesion to the Connecticut State Laboratory.