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BULLOUS IMPETIGO SKIN DISEASE
Bullous impetigo-
Diagnosis-The principal diseases from which diagnosis must
be made are the bullous syphilide of the newborn and halogen eruptions. The
bullous syphilide is more or less symmetrical, it is either present at birth or
appears in the first three days after birth. In this the bullae are most
numerous about the hands and feet including the palms and soles which are never
affected by bullous impetigo. The syphilitic child also will probably be wasted
have a harsh café au lait coloured skin
snuffles hoarse cry enlarged liver and spleen
and a positive wassermann reaction. The child with bullous impetigo will
probably be otherwise healthy and the lesions not symmetrical. Halogen
eruptions are sometimes bullous but they tend to be persistent and a history can
usually be obtained of the administration of " soothing powders " to
the baby or of bromide or iodide to the mother. Other bullous conditions are
very rare in the newborn, and in all of them the vesicle contents would at
first be sterile while in bullous impetigo the content of the earliest vesicle
gives a profuse growth of staphylococcus aureus.
Treatment-
Local treatment consists of the application of
antibiotic ointments after the roofs of the blisters have been removed.
Systemic antibiotics should also be given.
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