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swollen ear skin


Sent to Health Experts September 16, 2005 6:25 a.m.

I have recently noticed a patch of smooth white skin on my neck just under my ear. The area is somewhat thickened or swollen but painless. Just in the past day or so ..I have a new white patch just behind my ear lobe and in that spot I have what feels like swollen lymph nodes ...also painless. Any ideas?
Customer (name blocked for privacy)
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Answer
September 16, 2005 6:43 a.m. (17 minutes and 58 seconds later)
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Lymphadenitis and lymphangitis are infection of the lymph nodes (also called lymph glands) and lymph channels, respectively.

The lymphatic system is a network of vessels (channels), nodes (glands) and organs. It functions as part of the immune system to protect against and fight infection, inflammation, and cancers. It also functions in the transport of fluids, fats, proteins, and other substances within the body.

The lymph glands, or nodes, are small structures that filter the lymph fluid. There are many white blood cells in the lymph nodes to help fight infection.

Lymphadenitis and lymphangitis are common complications of bacterial infections.

Lymphadenitis involves inflammation of the lymph glands. It may occur if the glands are overwhelmed by bacteria, virus, fungi, or other organisms and infection develops within the glands. It may also occur as a result of circulating cancer cells or other inflammatory conditions.

The location of the affected gland(s) is usually associated with the site of the underlying infection, tumor, or inflammation. Lymph node infections is commonly a result of a cellulitis or other bacterial infections (usually infection by streptococci or staphylococci), but can also be caused by rare infections, such as tuberculosis or cat scratch disease (Bartonella).

Lymphangitis involves the lymph vessels/channels, with inflammation of the channel and resultant pain and systemic and localized symptoms. It commonly results from an acute streptococcal or staphylococcal infection of the skin (cellulitis), or from an abscess in the skin or soft tissues.

Lymphangitis may suggest that an infection is progressing, and should raise concerns of spread of bacteria to the bloodstream, which can cause life-threatening infections. Lymphangitis may be confused with a clot in a vein (thrombophlebitis ).

LYMPHADENITIS

  • lymph nodes may be swollen, tender, and hard
  • lymph nodes feel smooth or irregular to touch, or soft and "rubbery" if an abscess has formed
  • the skin over a node may be reddened and hot

http://www.nlm.nih.gov/medlineplus/ency/article/001301.htm

It sounds as though you may have a bacterial infection that would need to be treated promptly with antibiotics, the sooner it is treated the less chance for further infection that can be serious. I suggest that you give your physician a call and see if you can be seen today as I would not allow this to progress.



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Reply to cheryl kauffman
Sent September 16, 2005 8:20 a.m. (1 hour and 37 minutes later)

This doesn't seem to fit ...I have no reddened areas ...in fact ..the swollen areas have lost all pigment as I stated above.
Customer (name blocked for privacy)
Answer
September 16, 2005 8:56 a.m. (36 minutes and 0 seconds later)

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PictureCheryl K.  -- Medical Assistant -- 100% Positive Feedback on 3316 Health Accepts
Gen. Medicine/OB/GYN Infectious Disease /STD/Sexual Health/ Orthopaedics/ Pediatrics/Internal
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September 18, 2005 10:13 a.m. (2 days and 1 hour later)

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