bullous impetigo: diagnosis and management:
🔹 Diagnosis
Etiology
• Caused by Staphylococcus aureus (exfoliative toxin-producing
strains).
Clinical Features
• Lesions: Flaccid bullae that rupture easily → leave erythematous base
with yellow crust.
• Distribution: Common on face, trunk, buttocks, intertriginous areas.
• Age group: Most common in infants and young children.
• Symptoms: May have itching, tenderness, mild systemic symptoms
(fever, malaise).
• Complications: Rare progression to cellulitis, staphylococcal scalded
skin syndrome (SSSS).
Diagnosis
• Clinical in most cases (appearance is characteristic).
• Gram stain/culture: May be obtained if widespread, recurrent, or
resistant to guide therapy.
🔹 Management
1. General Measures
• Good hygiene, keep nails short to prevent spread.
• Wash lesions gently with soap and water.
• Avoid close contact until treated.
2. Topical Therapy (for localized disease)
• Mupirocin ointment (first-line).
• Retapamulin ointment (alternative).
🔹 Diagnosis
Etiology
• Caused by Staphylococcus aureus (exfoliative toxin-producing
strains).
Clinical Features
• Lesions: Flaccid bullae that rupture easily → leave erythematous base
with yellow crust.
• Distribution: Common on face, trunk, buttocks, intertriginous areas.
• Age group: Most common in infants and young children.
• Symptoms: May have itching, tenderness, mild systemic symptoms
(fever, malaise).
• Complications: Rare progression to cellulitis, staphylococcal scalded
skin syndrome (SSSS).
Diagnosis
• Clinical in most cases (appearance is characteristic).
• Gram stain/culture: May be obtained if widespread, recurrent, or
resistant to guide therapy.
🔹 Management
1. General Measures
• Good hygiene, keep nails short to prevent spread.
• Wash lesions gently with soap and water.
• Avoid close contact until treated.
2. Topical Therapy (for localized disease)
• Mupirocin ointment (first-line).
• Retapamulin ointment (alternative).
