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Impetigo
Last reviewed: 23.04.2024
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Causes and pathogenesis of impetigo
The causative agent of the disease are streptococci, staphylococci.
The development of the disease is promoted by microtrauma, non-compliance with skin hygiene, weakening of immunity, or it occurs as a complication of various dermatoses (eczema, dermatitis, scabies, etc.).
Symptoms of impetigo
Impetigo begins with the appearance of erythematous spots 5-10 mm in size. The spots quickly turn into flabby, easily revealing fiction with a thin tire and unclear content.
Flikten is usually surrounded by an inflammatory areola. After the opening of the conflict, their contents are poured into light yellow thin crusts. Approximately in 5-6 days, crusts disappear and remain fresh peptidized pink skin areas or a temporary depigmentation focus.
Foci are more often located on the face, neck, arms Distinguish the following clinical varieties of impetigo: slit, localized in the skin folds (behind the auricles, in the folds of the mouth, around the nose); Bullous, manifested by large bubbles; syphilis-like, in which foci appear in the genital area, similar to erosive syphilitic papules; It is annular, formed during centrifugal growth of the element.
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Treatment of impetigo
With a mild course of the disease, the area around the focus is treated with 70% alcohol solution, the bubbles are opened and a solution of aniline dyes (Castellani liquid, brilliant greens, etc.) is applied on the erosion. Then use hemiomycinic, lincomycin, erythromycin ointment. In severe flow or the spread of the process, antibiotics are administered orally or parenterally. From physiotherapeutic procedures, UV irradiation of lesions is used