The symptoms and treatment of bullous impetigo

Bullous impetigo is a form of streptococcal skin lesions. Pathogens pathology considered to be streptococci or staphylococci, they affect the skin, penetrates through small abrasions, cuts, areas of maceration, other damage to the protective layers of the epidermis. Peaks of incidence have in most cases in the summer. The pathological process can affect both adults and children in the medical literature describes cases of epidemic outbreaks of the soldiers. Of the factors that contribute to the emergence and development of the disease, it may be noted, in addition to traumatic, violation of hygienic requirements in the skin care or improper care of the skin, reducing the protective forces of the body.

The symptoms of bullous impetigo

The pathological process begins with the appearance of bubbles of a hemispherical shape, which were stretched, their diameter can reach two see Turbid exudate is under a tight lid and, in some cases, it can contain traces of blood. Bubbles are most often located on the surface of the skin of the hands and shins. The skin around the lesion may swell, and the disease may be accompanied by lymphangitis, lymphadenitis, General weakness, rise in body temperature, headache. Change some of the indicators of the analysis of blood observed leukocytosis, nejtrofilnyj alteration to the higher digits of ESR. The disease becomes more severe when the symptoms of bullous impetigo occur on the background of other diseases of the skin, such as eczema, atopic dermatitis and other dermatoses.

At diagnosis should differentiate bullous impetigo from bullous of bullosa and dermatitis, syphilis, and dyshidrosis in the bones and feet.

Bullous impetigo is not accompanied by unfavorable hereditary background, which in this case becomes the hallmark of epidermolysis bullosa. Unlike bullosa, bullous impetigo does not have a chronic form. Has its own characteristics and the localization of the inflammatory process: while bullous impetigo bubbles are not formed at the place of injury of skin, the pathological process not affects the knee and elbow joints, does not develop at the site of inflammation, skin atrophy, deformation of nails, in place of modified hair, affected mucous membranes, scars.

To differentiate bullous impetigo from pemphigus syphilitic nature, pay attention to the nature of the lesions. Localization of the pathologicalprocess on the skin of the palms and soles says about symptoms of congenital syphilis that is manifested during the first two or three months of life of newborns. Of the favorite places localization of the pathological process in syphilitic pemphigus you can also mark the area of the flexor surface of the forearms and shins. A characteristic difference from bullous impetigo in this case is the infiltration, which can be seen at the base and along the periphery of the bubbles. Inside their content in the survey are not detected Treponema pallidum, if we are talking about bullous impetigo. Skin lesions in a patient with pemphigus occurs on the background of other symptoms, including diffuse infiltration of the skin of Honsinger, diseases of internal organs, which is characteristic of rhinitis, positive Wasserman.

Monomorphic nature of the pathological process is the hallmark of bullous impetigo if you want to make a differential diagnosis and questioned the diagnosis of bullous dermatitis wherein the rash is polymorphic in nature. Bullous dermatitis is manifested directly at the site of action of exogenous factor after his disappearance pathological process takes place.

To distinguish disgidros bones and feet from bullous impetigo, it is necessary to pay attention to the localization process. Disgidros is accompanied by a rash on the palms and feet, which have the appearance of bubbles with a tight tire and remind sago grains, bubbles stay longer on the skin than bullous impetigo.

Treatment of bullous impetigo

If the General condition of the patient is accompanied by symptoms of intoxication, and the affected area of the skin is quite extensive, the need for antimicrobial therapy. For the treatment of bullous impetigo in that case, you use benzylpenicillin injection, for children, the drug dosage is selected taking into account their age and body weight. Can also be assigned to semi-synthetic penicillins, more rarely semi-synthetic tetracyclines, cephalosporins and other antibiotics. In some cases, the treatment of bullous impetigo is conducted with the use of sulfonamides or quinolones (in patients older than 14-16 years).

Local treatment sites of the skin, which manifests a pathologic process, not different from the conventional processing of the cystic elements is performed: the puncture of the tire, removed the contents of the bladder is the procedure of dushirovanie aniline dyes fukortsin or. Repeat the treatment 2-3 times a day. In the next stage of therapy on the areathe lesion is applied ointment dressings with the use of creams, liniments and ointments containing antibiotics. After softening purulent crusts removed, and the skin around the inflammation is treated with antiseptics, antiseptic powder may be administered with a prophylactic purpose.