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Am J Dis Child. 1934;48(2):269-271. doi:10.1001/archpedi.1934.01960150028002.
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The contagious and auto-inoculable character of the pyogenic infections of the skin causes a great deal of inconvenience, especially in school children, among whom dissemination both by direct and by indirect contact occurs readily. The interchange of pencils, pens, playthings, etc., assumes an important rôle in this contagion.

Inconvenience is occasioned by the loss of time incurred when, after a diagnosis of pyogenic infection is made, the pupil is excluded from classroom activities.

The most important of the group of pyogenic infections is impetigo contagiosa, but under this grouping we include ecthyma and infectious eczematoid dermatitis also.

Impetigo contagiosa is caused by invasion of the upper strata of the skin by staphylococci or streptococci. The condition begins in the form of small or large blisters. The roof of such a blister is very thin, so that on the slightest injury it ruptures. The content of the blister, which is a


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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