Bullous Impetigo Case Study
Case series
Bullous Impetigo – A Literature Review Through Case Series
Mariam Hasan Rizvi* , Sina Aziz**
*Corresponding author-House Officer, Civil Hospital Karachi. ** Department of Paediatrics, Abbasi Shaheed Hospital, Karachi Medical and Dental College
INTRODUCTION:
Impetigo is a bacterial skin infection frequently reported in the dermatology clinic,1 with a high prevalence midst infant and children of 2-5 years of age.1,2,3 This cutaneous condition ranks third after eczema and viral warts showing highest prevalence in children 3 with the incidence of more than 75% in school going children and 12% in infants.4 Impetigo which is characterized by inflammation in the superficial layers of epidermis can occur either as a primary infection or secondary to another condition, such as atopic dermatitis or scabies, which disrupts the skin barrier is broadly identified as bullous and non-bullous impetigo.1,5,6,7 .The incidence of bullous to non bullous variety is 30:70 .2Impetigo on the whole is highly communicable 2,7, however the outbreaks is common in summer season in places of warm climates,3 neverthless, the non-bullous variety occurs more commonly.
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bullous impetigo is an invasive but localized infection characterized by fluid filled blisters on the skin.4,7 The classic lesion is bullae which is a cystic elevated skin lesion of 0.5-2 cm in diameter.1,8 and is invariably frail and flaccid, leaving brownish-golden crust after rupturing.7 The lesions are often painful and are associated with systemic manifestations like fever accompanied with weakness ,diarrohea and lymphadenopathy. 7 Bullous impetigo is a staphylococcal infection inevitably caused by exfoliative toxins acting as super antigens produced by the pathological strains of staphylococcus
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