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

Recognizing impetigo

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