Impetigo - pustular skin disease caused by streptococci and staphylococci. The infection penetrates through the cracks and abrasions of the skin, mouth balance-hair craters. Impetigo may occur as a primary disease or complicates the already existing dermatosis (secondary impetigo).

streptococcal impetigoimpetigo

Streptococcal Impetigo has several clinical varieties: bullous, curly, vegetative, the Zayed and other Ill more often than children, young women. The disease is characterized by the appearance of a flat bubbles (flickan) to 1-2 cm in diameter with a transparent or slightly turbid contents. Bubbles are sparsely or by groups, and surrounded by a thin inflammatory aureole. The rash does not cause subjective sensations and quickly covered by a thin yellow crusts that in 5-6 days fall away, leaving no scars; localized on the exposed parts of the body: face (Fig. 5 and 6), the shins, brushes, but are easily transferable to other areas of the skin. To streptococcal impetigo considered a disease of the newborn, resulting sometimes in the form of epidemics in some maternity hospitals (see Piodermia).
Impetigo staphylococcal characterized by small isolated spherical pustules with thick green pus, penetrated in the centre of the hair and is surrounded by inflammatory aureole. They quickly dry up in cone-like crust, which fall on 7-8-th day, leaving a pink spot. The disease contribute to work in a dusty environment, increased sweating, maceration of the skin from compresses, declining food, uncleanliness.
Impetigo vulgar. Usually affects children, localization - face. The process begins as streptococcal impetigo, then when joining staphylococci pustules are formed covered later thick roscovitine yellow crusts. Multiple lesions that rapidly spread, and can complicate the scabies, lice and other
When impetigo may develop regional lymphangitis, lymphadenitis, abscesses, furuncles, perhaps pyococcal kidney damage, in some cases the focal erythroderma (see), with subfebrile temperature and lasting several months.
Treatment: lacto-vegetarian diet with restriction of sweets, with the exception of honey, egg white, canned food; vitamins (b, C), sulfonamides (when assigning children to consider the possibility of side effects), antibiotics, persistent cases autohemotherapy. Local (including infants): pustules open, pus delete, lubricating affected skin aniline dyes, ointments with antibiotics (for example, 10% of syntomycin emulsion), 3-5% boric-tar ointment; rich crusts to remove them ointments with salicylic acid (2%).
Prevention: people with symptoms of pyoderma not be allowed to work in child care institutions; the patient to provide a separate crockery, linen, unaffected skin to wipe alcohol solutions.

impetigo circinataimpetigo contagiosaimpetigo herpetiformis
Fig. 1. Impetigo circinata. Fig. 2. Impetigo contagiosa. Fig. 3. Impetigo herpetiformis.