Cellulitis Recurrence Score: A tool for predicting recurrence of lower limb cellulitis

Journal Pre-proof Cellulitis Recurrence Score: A tool for predicting recurrence of lower limb cellulitis Eliot Mostow PII:

S0190-9622(19)32482-X

DOI:

https://doi.org/10.1016/j.jaad.2019.07.089

Reference:

YMJD 13700

To appear in:

Journal of the American Academy of Dermatology

Received Date: 26 July 2019 Accepted Date: 26 July 2019

Please cite this article as: Mostow E, Cellulitis Recurrence Score: A tool for predicting recurrence of lower limb cellulitis, Journal of the American Academy of Dermatology (2019), doi: https:// doi.org/10.1016/j.jaad.2019.07.089. This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. © 2019 Published by Elsevier on behalf of the American Academy of Dermatology, Inc.

Title Page Author: (Corresponding Author) Eliot Mostow NEOMED (Northeast Ohio Medical University) Dermatology Section, Dept. Internal Medicine 566 White Pond Drive, Suite E Akron, OH 44320 330-535-7100 [email protected]; [email protected] Funding: None Conflicts: None Words: 267 Article Title: Cellulitis Recurrence Score: A tool for predicting recurrence of lower limb cellulitis.

Game Changer Information Game Changer Category: General Derm Game Changer Title: Game Changer: Cellulitis Recurrence Score: A tool for predicting recurrence of lower limb cellulitis. Game Changer Author: Eliot N. Mostow, MD Game Changer: • The Cellulitis Recurrence Score (CRS) was constructed based on lymphedema (P < .0005), chronic venous insufficiency (P < .0005), peripheral vascular disease (P = .002), and deep vein thrombosis (P = .008) and worked as a fairly good predictor of recurrence. CRS ≥ 2 was associated with a positive predictive value of 83.6% and negative predictive value of 67.5%. • I like things like this as it gives me/us the ability to say to a patient (and family) that "based on a recent study" we can predict that their risk of recurrence is significant and we can then educate them well, monitor more closely, and perhaps treat longer than we would in a lower risk patient. Of course, while we "know" some of this just based on experience, this adds evidence and data to support our "gut sense" and is thus satisfying and useful. Original authors: Evelyn Yuxin Tay, MRCP, Stephanie Fook-Chong, MSc, Choon Chiat Oh, MRCP, Thamotharampillai Thirumoorthy, FRCP, Shiu Ming Pang, FRCP, Haur Yueh Lee, MRCP Original Article Title: Cellulitis Recurrence Score: A tool for predicting recurrence of lower limb cellulitis. Original Capsule Summary: • Recurrence of lower limb cellulitis is common. • Clinical factors that predict recurrences are lymphedema, venous insufficiency, deep vein thrombosis, and peripheral vascular diseases. • Cellulitis Recurrence Score is a scoring system based on presence or absence of lymphedema, venous insufficiency, deep vein thrombosis, and peripheral vascular disease. It is useful for predicting recurrence in lower limb cellulitis.

Link to the original article: https://www.jaad.org/article/S0190-9622(14)01892-1/fulltext