Impetigo
Description
Contagious, superficial bacterial skin infection
Nonbullous and bullous forms
May complicate chickenpox, eczema, and other skin disorders marked by open lesions
Most commonly appears on face, arms, and legs
Pathophysiology
Nonbullous impetigo
Eruption occurs when bacteria inoculate traumatized skin cells.
Lesions begin as small vesicles, which rapidly erode.
Honey-colored crusts are surrounded by erythema.
Bullous impetigo
Eruption occurs in nontraumatized skin via bacterial toxin or exotoxin.
Lesions begin as thin-walled bullae and vesicles.
Lesions contain clear to turbid yellow fluid; some crusting exists. (See Recognizing impetigo.)
Focus in
Recognizing impetigo