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skin disease impetigo
Diagnosis-
The ordinary case is easily diagnosed, but the circulate
type is sometimes mistaken for ringworm. In the latter the ring is nearly
always made up of a number of minute individual vesicles or pustules, while in
impetigo it consists of the continuous edge of one large vesicle whose center
has disappeared. A very acute impetigo involving practically the whole of both
sides of the face almost symmetrically may be extremely difficult to diagnose
from an acute weeping eczema of the face. It is difficult to give any exact
criteria by which diagnosis may be made, but help may sometimes be obtained
from the history-impetigo usually starting on one side and spreading, while
eczema, usually starts symmetrically on both sides. The presence elsewhere of
characteristic lesions of one or other disease would of course help in the
diagnosis.
Treament-
The average case of impetigo can be cured in a
week to ten days with local antibiotics such as neomycin or soframycin. Heavy
crusting should be gently removed by bathing with warm water and the ointment
gently smeared on thrice daily.
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