Impetigo history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
People who suffer from cold sores have shown higher chances of suffering from impetigo. Those who normally suffer from cold sores should consult a doctor if normal treatment has no effect.
History and Symptoms
Patients have one or more pimple-like lesions surrounded by reddened skin. Lesions fill with pus, then break down over 4–6 days and form a thick crust. Impetigo is often associated with insect bites, cuts, and other forms of trauma to the skin. Itching is common.[1]
History
The history of a patient with suspected impetigo may inclucde:[1]
- Fever
- Trauma
- Immunodeficiency
- Recurrent vesicles or bullae in the past
- Conatgious spread of the lesions
- Non-bullous impetigo has a history of self resolution in 1-2 weeks
- Fatigue
- Axillary pain or pain and swellings in other locations
Symptoms
The symptoms of impetigo include some generalized as well as specific symptoms for the various types of impetigo.[1]
Generalized Features
Generalized symptoms of impetigo include:
- Fever
- Itching
- Fatigue
- Weakness
- Diarrhoea
Bullous Impetigo
- Very contagious course
- Multiple lesions around the lips
- Lesions around the nose
- Lesions on the face, extremities and any skin location
- Lesions are primarily pustules and vesicles
- Honey-colored crusting of lesions occurs when the vesicles rupture
- Pain in the axillae
Non-bullous Impetigo
- Less contagious course
- Face, axillae, extremities, trunk or anal region may be affected
- Initial lesions are bullae with clear fluid
- The fluid in the bulae can turn yellow and less transparent with time
- Very fragile lesions
- Crusting is less frequenting after upture
- Scaling may be present in the form of a ring