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impetigo

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

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  1. impetigo Bacterial dermatosis 1.primary: ①normal skin, ②specific lesion form, ③disease course, ④simple infection of bacterium 2.secondary

  2. etiology Staphylococcus or betahemolytic streptococcus or Staphylococcus and betahemolytic streptococcus

  3. 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

  4. Positive),pustule,erosion 4.ecthyma:vesicle,crust,ulcer(raw base, elevated edges,saucer-shaped)

  5. Laboratory findings Blood analysis: leucocyte and neutrophil cell rising

  6. prevalence In early childhood,summer months

  7. diagnosis 1.Prevalence 2.clinical feature

  8. Differential diagnosis Varicella ①variform ②wide and concentric distribution, ③discrete, ④umbilicated vesicle, ⑤present in mouth

  9. treatment 1.external application treating rule:①antibacterial, ②anti-inflammatory, ③apocrustic, ④drying 2.systemic antibiotic therapy: penicillin,erythromycin,cloxacillin

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