rapid diagnostic and therapeutic quiz: a model for assessing basic dermatology knowledge of primary care providers.
Table XI shows that term neonates showed a significantly higher incidence of bullous impetigo
, while post-term neonates showed a significantly higher incidence of oral candidiasis.
Is blistering distal dactylitis a variant of bullous impetigo
? Clin Exp Dermatol.
aureus is the sole cause of bullous impetigo
and the main agent of nonbullous impetigo, where, however, Streptococcus pyogenes is sometimes isolated (20).
Other causes of diaper dermatitis include allergic contact dermatitis (which can also be a complication of candidiasis diaper dermatitis), sebor-rheic dermatitis, psoriasis, or bullous impetigo
This can cause a more serious infection, in which the skin blisters and becomes very painful (bullous impetigo
On the other hand, bullous impetigo
is caused by the local production of exfoliative toxins (ETA or ETB) by phage group II of Staphylococcus aureus.
Among this impetigo contagiosa was the diagnosis in 76 patients and bullous impetigo
in 4 patients.
Tzanck smear is an easily performed, sensitive, specific, cost-effective and rapid test that is useful in clinical settings in dermatologist's daily practice.3,4 Arnault Tzanck first used this method for the diagnosis of cutaneous disorders in 1947.5 It can also be performed at the bedside with minimal patient discomfort.6,7 In this method, scrapings from the floor of the vesicles are transferred to a glass slide, stained with various dyes, and then examined under the light microscope, that reveals multinucleated giant cells in herpetic infection, acantholytic cells in pemphigus, dyskeratotic acantholytic cells and cocci in bullous impetigo
, pseudohyphae in candidiasis and necrotic basal cells in toxic epidermal necrolysis.7
* Diagnosis: Bullous impetigo
, caused by methicillinresistant S aureus
-- Topical as well as systemic antibiotic treatments are appropriate for impetigo, including bullous impetigo
and ecthyma, but there are pluses and minuses associated with each type of treatment, Dr.
Vesiculopustular disorders of neonates are common; HSV infection, herpes zoster, congenital syphilis, neonatal acne, staphylococcal infections, bullous impetigo
, epidermolysis bullosa simplex, Letterer-Siwe disease, transient pustular melanosis, neonatal dermatitis herpetiformis, and IP all have vesiculopustular cutaneous manifestations.
Common differentials include zosteriform herpes simplex, bullous impetigo
and bullous insect bite reaction.
The first is infections--both viral, such as herpes simplex, varicella-zoster, and Enteroviral (including Coxsackie) infections--and bacterial, including bullous impetigo
and staphylococcal scalded skin syndrome.
The characteristic lesions in bullous impetigo
are small blisters that enlarge to 1-cm to 5-cm bullae that easily rupture, leaving an erythematous plaque with a collarette of scale or "double ring scale," with minimal crust and mild erythema.