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impetigo. Bacterial dermatosis 1.primary: ①normal skin, ②specific lesion form, ③disease course, ④simple infection of bacterium 2.secondary. etiology. Staphylococcus or betahemolytic streptococcus or Staphylococcus and betahemolytic streptococcus. Clinical manifestation.
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impetigo Bacterial dermatosis 1.primary: ①normal skin, ②specific lesion form, ③disease course, ④simple infection of bacterium 2.secondary
etiology Staphylococcus or betahemolytic streptococcus or Staphylococcus and betahemolytic streptococcus
Clinical manifestation 1.impetigo vulgaris:erythematous macule, papule,pustule(thin-walled,seropus),erosion, crust(golden yellow friable) 2.bullous impetigo:vesicle or pustule(clear→ opacity,tense →loosening),bullae,erosion, crust(straw-colored),pigmentation 3.impetigo neonatorum:bullae(nikolsky’s sign
Positive),pustule,erosion 4.ecthyma:vesicle,crust,ulcer(raw base, elevated edges,saucer-shaped)
Laboratory findings Blood analysis: leucocyte and neutrophil cell rising
prevalence In early childhood,summer months
diagnosis 1.Prevalence 2.clinical feature
Differential diagnosis Varicella ①variform ②wide and concentric distribution, ③discrete, ④umbilicated vesicle, ⑤present in mouth
treatment 1.external application treating rule:①antibacterial, ②anti-inflammatory, ③apocrustic, ④drying 2.systemic antibiotic therapy: penicillin,erythromycin,cloxacillin