Impetigo physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2], Usama Talib, BSc, MD [3]

Overview

The diagnosis of impetigo is primarily clinical. A thorough physical examination plays an important role in the diagnosis of impetigo along with a detailed history taking.[1][2]

Physical Examination

The follwoing findings on physical examination may suggest impetigo:[1]

  • Bullous impetigo
    • Fluid filled bullae
    • Bullae are flaccid and a thin brown crust is visible after they rupture
    • Bullous impetigo can usualy be seen on the trunk
  • Non-bullous impetigo
    • Papules
    • Pustules
    • Vesicles
    • Non-bullous impetigo is usually seen on the extremities and face
    • Brown crust may be seen after rupture
  • Ecthyma
    • Ulcers are punched-out with raised borders
    • Brown crust can be seen on the ulcer

Gallery

Skin

Face
Trunk
Extremity
Ear
Genitalia

References

  1. 1.0 1.1 Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R; et al. (2016). "Staphylococcal bullous impetigo in a neonate". World J Clin Cases. 4 (7): 191–4. doi:10.12998/wjcc.v4.i7.191. PMC 4945591. PMID 27458596.
  2. Cole C, Gazewood J (2007). "Diagnosis and treatment of impetigo". Am Fam Physician. 75 (6): 859–64. PMID 17390597.
  3. 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25 3.26 3.27 3.28 3.29 3.30 3.31 3.32 3.33 3.34 3.35 3.36 3.37 3.38 3.39 3.40 3.41 3.42 3.43 3.44 3.45 3.46 3.47 3.48 3.49 3.50 3.51 3.52 3.53 3.54 3.55 3.56 3.57 3.58 3.59 3.60 3.61 3.62 3.63 3.64 3.65 3.66 3.67 3.68 3.69 3.70 3.71 3.72 3.73 3.74 3.75 3.76 3.77 "Dermatology Atlas".
  4. "Public Health Image Library (PHIL)".

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