Nonbacterial Causes of Lymphangitis with Streaking

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Figure 1.
Erythematous patch with central bulla on the ventral forearm, with a lymphangitic streak extending to the antecubital fossa in a patient with herpes simplex virus infection versus a reaction to an arthropod bite. (Photograph obtained by authors at New York University Langone Medical Center in January 2015.)
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Figure 2.
Two annular patches with surrounding erythema associated with lymphangitic streaks that developed after insect bites on the medial thigh of a patient with chronic lymphocytic leukemia. (Photograph obtained by authors at New York University Langone Medical Center in July 2013.)

Table 1.

Nonbacterial Causes of Lymphangitic Streaking

Viral	Herpes simplex
	Herpes zoster
Fungal	Aspergillus species
	Sporothrix schenckii
Arthropod bites	Insect bite
	Pigeon tick bite
	Spider bites
	Loxosceles reclusa (brown recluse spider)
	Loxosceles arizonica
Iatrogenic	Tuberculosis purified protein derivative test
	Bacillus Calmette-Guérin vaccine
	Cantharidin therapy