- For the band, see Impetigo (band).
Classification & external resources
| Skin lesions that proved to be impetigo.
|| derm/195 emerg/283 med/1163 ped/1172
Impetigo is a superficial skin infection most common among children age 2–6 years. People who play close contact sports such as rugby, American football and wrestling are also susceptible, regardless of age. The name derives from the Latin impetere ("assail"). It is also known as school sores.
Impetigo is usually caused by the same streptococcus strain that causes strep throat, Streptococcus pyogenes. It may also be caused by Staphylococcus aureus.
According to the American Academy of Family Physicians - "Nonbullous impetigo was previously thought to be a group A streptococcal process and bullous impetigo was primarily thought to be caused by S. aureus. Studies now indicate that both forms of impetigo are primarily caused by S. aureus with Streptococcus usually being involved in the nonbullous form"
Scratching may spread the lesions.
The infection is spread by direct contact with lesions or with nasal carriers. The incubation period is 1–3 days. Dried streptococci in the air are not infectious to intact skin.
Signs and symptoms
One or more pimple-like lesions surrounded by reddened skin. Lesions fill with pus, then break down over 4–6 days and form a thick crust. Impetigo is often associated with insect bites, cuts, and other forms of trauma to the skin. Itching is common.
People who suffer from cold sores have shown higher chances of suffering from impetigo. Those who normally suffer from cold sores should consult a doctor if normal treatment has no effect.
The diagnosis is made based on the typical appearance of the skin lesion.
Topical or oral antibiotics are usually prescribed.
Treatment may involve washing with soap and water and letting the impetigo dry in the air.
Many general practitioners choose to treat impetigo with bactericidal ointment, such as fusidic acid (Fucidin) or mupirocin (Bactroban), but in more severe cases oral antibiotics, such as flucloxacillin (e.g., Floxapen) or erythromycin (e.g., Erythrocin) or Dicloxacillin are necessary.
It is very important to remove the crusts before applying ointment, because the bacteria that cause the disease live underneath them.
- ^ Stulberg DL, Penrod MA, Blatny RA (2002). "Common bacterial skin infections". American family physician 66 (1): 119-24. PMID 12126026.
|Diseases of the skin and subcutaneous tissue (integumentary system) (L, 680-709)|
|Infections||Staphylococcus (Staphylococcal scalded skin syndrome, Impetigo, Boil, Carbuncle) - Cellulitis (Paronychia) - Acute lymphadenitis - Pilonidal cyst - Corynebacterium (Erythrasma)|
|Bullous disorders||Pemphigus - Pemphigoid (Bullous pemphigoid) - Dermatitis herpetiformis|
|Dermatitis and eczema||Atopic dermatitis - Seborrhoeic dermatitis (Dandruff, Cradle cap) - Diaper rash - Urushiol-induced contact dermatitis - Contact dermatitis - Erythroderma - Lichen simplex chronicus - Prurigo nodularis - Itch - Pruritus ani - Nummular dermatitis - Dyshidrosis - Pityriasis alba|
|Papulosquamous disorders||Psoriasis (Psoriatic arthritis) - Parapsoriasis (Pityriasis lichenoides et varioliformis acuta, Pityriasis lichenoides chronica) - Pityriasis rosea - Lichen planus - Pityriasis rubra pilaris - Lichen nitidus|
|Urticaria and erythema||Urticaria (Dermatographic urticaria, Cholinergic urticaria) - Erythema (Erythema multiforme, Stevens-Johnson syndrome, Toxic epidermal necrolysis, Erythema nodosum, Erythema annulare centrifugum, Erythema marginatum)|
|Radiation-related disorders||Sunburn - Actinic keratosis - Polymorphous light eruption - Radiodermatitis - Erythema ab igne|
|Disorders of skin appendages||nail disease: Ingrown nail - Onychogryposis - Beau's lines - Yellow nail syndrome
hair loss: Alopecia areata (Alopecia totalis, Alopecia universalis, Ophiasis) - Androgenic alopecia - Telogen effluvium - Traction alopecia - Lichen planopilaris - Trichorrhexis nodosa
other follicular disorders: Hypertrichosis (Hirsutism) - Acne vulgaris - Rosacea (Perioral dermatitis, Rhinophyma) - follicular cysts (Epidermoid cyst, Sebaceous cyst, Steatocystoma multiplex) - Pseudofolliculitis barbae - Hidradenitis suppurativa
sweat disorders: eccrine (Miliaria, Anhidrosis) - apocrine (Body odor, Chromhidrosis, Fox-Fordyce disease)
|Other||pigmentation (Vitiligo, Melasma, Freckle, Café au lait spot, Lentigo/Liver spot) - Seborrheic keratosis - Acanthosis nigricans - Callus - Pyoderma gangrenosum - Bedsore - Keloid - Granuloma annulare - Necrobiosis lipoidica - Granuloma faciale - Lupus erythematosus - Morphea - Calcinosis cutis - Sclerodactyly - Ainhum - Livedoid vasculitis|
|see also congenital (Q80-Q84, 757)|