Bullous impetigo

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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.