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November 1997, Vol 151, No. 11 >
Article | November 1997

Bullous Impetigo FREE

Jeffrey W. Scales, MD; Alan B. Fleischer, MD; Daniel P. Krowchuk, MD
Arch Pediatr Adolesc Med. 1997;151(11):1168-1169. doi:10.1001/archpedi.1997.02170480098018.
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Bullous impetigo is a common cutaneous infection that primarily affects children between the ages of 2 and 5 years.1 It is caused almost exclusively by coagulase-positive Staphylococcus aureus. It is a common manifestation of a staphylococcal toxin–mediated disease. The presenting signs are typically flaccid blisters and bullae less than 3 cm in diameter.2 Without therapy these blisters and bullae may rupture, leaving superficial crusts. Although a diagnosis of bullous impetigo generally is made without difficulty, based on the observation of typical small bullae and erosions, unusual presentations may lead to confusion with other processes. We describe a patient with bullous impetigo whose physical findings resembled those of a thermal burn.

Patient Report. A 21-month-old African American presented to the pediatric emergency department at our institution with complaints of a "rash" on the buttocks, fever, and unwillingness to walk. His mother stated that he had been in the

REFERENCES

1 +
Habif T. Clinical Dermatology . 2nd ed. St Louis, Mo: CV Mosby Co; 1990;; 183-188.
2 +
Dagan R.  Impetigo in childhood: changing epidemiology and new treatments . Pediatr Ann . 1993;;22:235-240.
3 +
Barnett BO, Frieden IJ.  Streptococcal skin diseases in children . Semin Dermatol . 1972;;2:3-10.
4 +
Dillon HC.  Impetigo contagiosa: suppurative and nonsuppurative complications . AJDC . 1968;;115:530-541.
5 +
Helsing P, Gaustad P.  Bullous impetigo caused by group A streptococci . Acta Derm Venereol . 1992;;72:50-51.
6 +
Wannamaker KW.  Differences between streptococcal infections of the throat and of the skin . N Engl J Med . 1970;;282:23-30.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Habif T. Clinical Dermatology . 2nd ed. St Louis, Mo: CV Mosby Co; 1990;; 183-188.
2 +
Dagan R.  Impetigo in childhood: changing epidemiology and new treatments . Pediatr Ann . 1993;;22:235-240.
3 +
Barnett BO, Frieden IJ.  Streptococcal skin diseases in children . Semin Dermatol . 1972;;2:3-10.
4 +
Dillon HC.  Impetigo contagiosa: suppurative and nonsuppurative complications . AJDC . 1968;;115:530-541.
5 +
Helsing P, Gaustad P.  Bullous impetigo caused by group A streptococci . Acta Derm Venereol . 1992;;72:50-51.
6 +
Wannamaker KW.  Differences between streptococcal infections of the throat and of the skin . N Engl J Med . 1970;;282:23-30.

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