McNamara et al developed a model for predicting recurrence of cellulitis affecting the lower leg. This can help identify a patient who may benefit from more aggressive management. The authors are from the Mayo Clinic.
Parameters:
(1) tibial involvement
(2) history of malignancy
(3) dermatitis on the ipsilateral limb
Parameter
Finding
Points
tibial involvement
absent
0
present
1
history of malignancy
absent
0
present
1
dermatitis on ipsilateral limb
absent
0
present
1
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The higher the score the greater the risk that the cellulitis will recur.
Total Score
Risk of Recurrence Within 2 Years
0
5%
1
17%
2
51%
3
93%
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