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Impetigo

What is impetigo?

Impetigo is a disease characterized by the formation of surface bubble-pustular rash. Impetigo usually begins with the appearance of painful red spots that become bubbles through a stage full of sores, scabs type of honey.
There is more common in children, adults are usually infected men shaving, and often occurs as a complication of other diseases (itchy skin, and so etc.).

There are several forms of impetigo: streptococcal, staphylococcal, vulgar (mixed).

The disease is very contagious.

Impetigo often becomes the scourge of children's groups, most often it occurs in small teams, nursery children. Often seen as a home and school outbreaks. Impetigo is dangerous because it can produce complications in the internal organs, so that any outbreak of the disease is thoroughly investigated, and children treated.

The causes leading to the formation of impetigo

More than 80% of the pathogen Staphylococcus aureus is presented impetigo or beta-hemolytic streptococcus. Pathogen enters through cracks and abrasions of the skin, the mouth of the hair follicle.

Impetigo can occur as a primary disease or as a complication of an existing dermatoses, such as eczema, neurodermatitis (secondary impetigo). Risk factors for impetigo:

1) A tropical or subtropical climate (warm and humid conditions).
2) The summer or rainy season.
3) Slight damage the skin, insect bites, etc. (Microtrauma).
4) The poor hygienic conditions, epidemics, wars, etc.
5) The presence of impetigo in the family.
6) Poor health due to anemia and malnutrition, insufficiency.
7) metabolic disorders (diabetes).
8) Impetigo may develop as a complication of head lice, scabies, chicken pox, eczema.
9) Contact dermatitis.

Manifestations of impetigo

When streptococcal impetigo appear on the skin painful red mottled Cuspal rash. Last converted into small bubbles to 0.51 cm in diameter, filled with lighter gradually mutneyuschim content and further usually painless bubbles. Eruptions scattered or congested groups are surrounded by a narrow rim of reddened skin.. They quickly opened. After the rupture of bubble-popping red sores oozing surface, they were later covered with a honey-colored crust, disappears after 57 days.
The most common rash appears on the face of the exposed parts of the body, legs, arms, but can be in other areas of the skin to the site of injury of the skin.

The rash may develop quickly or slowly.

The children most often affects the corners of the mouth strep Zayed, the wings of the nose, the skin folds of ear shells. They begin with the appearance of a bubble in the corner of the mouth with a lingering thin skin, his place quickly formed slit-like erosion, after the removal of which is detected by a red wet easily bleeding surface with a crack in the center. After 1-2 hours again Zayed crusts. The process may be accompanied by a small soreness when opening the mouth. The process is often extended to the oral mucosa. Sometimes impetigo occurs in isolation in the mouth, on the spot where the bubbles are formed quickly reveals the painful erosion, are covered by a purulent coating.
Atypical streptococcal impetigo is a kind of lichen simplex person or dry pyoderma, in which the skin (usually in children) appear pink spots of various sizes from small scales, in situ lesions were allowed to remain temporary depigmentation (skin discoloration).

A variety of cystic impetigo is a felon and a surface at which the bubble occurs on the nail fold arched around the nail on the spot burrs trauma (for example, during a manicure), needle-sticks, etc. With such a traumatizing conflict opened and formed weeping erosion in a large number of streptococci in the discharge.

When staphylococcal impetigo (folliculitis) in the mouths of sebaceous hair follicles appear blisters (pustules), reaching the value of a pea.

Folliculitis may be superficial or deep.

Superficial folliculitis is characterized by the formation of multiple small (1-2 mm, the individual may be up to 5 mm) pustules, pierced in the center surrounded by a narrow hair and a pink border. On the day of their contents 3-4 dries appear yellow crust, which after falling on the skin no trace.

With deep folliculitis of the skin are formed painful red nodules the size of 5 mm or more in diameter, sometimes with abscess in the middle. A few days later a knot dissolves or abscesses, and then opened. After healing of the nodule is often left rib.

With the combination of streptococcal and staphylococcal infection develops mixed (vulgar) impetigo, in which the contents of the vials is purulent, and crust - massive. Vulgar impetigo most often occurs on the face, trunk and limbs less. Eruptions are numerous. Without treatment, near the former eruptions or in remote areas of the skin there are new eruptions, the process often takes the common character. When removing the crusts exposed moist eroded surface. Is set to transfer to new sites of infection through the hands and clothes. Regional lymph nodes are painful on palpation and a few puffy.

Complications

The most common disease ends without consequences, but there can be complications. One of the most unpleasant complications are the complications of the kidneys (nephritis) and the heart (myocarditis).

Staphylococcal impetigo may be complicated by widespread purulent processes - abscesses and phlegmon.

Prevention

Prevention is the treatment of diseases that contribute to the development of impetigo in personal hygiene, handling microtraumas antiseptic, sick children should not drive in kindergarten. In child care requires systematic for Disease Control.

The course and prognosis of impetigo

Full recovery for 710 days during the treatment.

What can your doctor do?

The diagnosis is made on clinical grounds.

Treatment of impetigo is usually performed in the clinic (outpatient).

The patient or the mother (if the child is ill) explain that the affected and adjacent areas of the skin should not be washed with water, they should be cleaned twice a day disinfectants (such as salicylic or camphor spirit). Individual vials opened and treated brilliant green, and then applied the ointment to antibiotics (e.g., erythromycin). Such processing is carried out 3-4 times a day for 7-10 days, without imposing on the skin dressing. After treatment for 1-2 weeks, the affected area wiped with alcohol.

In severe infections in young children are assigned antibiotics (oral or intramuscular).

Diagnosis of impetigo is based on the allocation of the pathogen. Collection of material for the study produced by the ulcer after removing the crust.

What can you do?

Rate severity of the patient and to determine the amount of necessary remedial measures can only be a doctor. Therefore, when the appearance of the first symptoms should seek medical advice in order to avoid unwanted complications.

You can not kiss the sick, to enjoy his dishes, linens, toiletries, and a child with impetigo can not attend schools, kindergartens, nurseries, etc.

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