No abstract available.
Impetigo*

No abstract available.
Impetigo* ; Pregnancy*

We reviewed retrospectively 15 cases of perinephric abscess from 1970 to 1982 and compared these results to previously published data from 1970 to 1977 (Report I) 1. The organisms causing abscesses were determined as follows: S. aureus was in 7 cases (46%), E. coil in 4 cases (27%), Klebsiella in 2 cases (13%), Acinetobacter in 2 cases (13%), In addition, three patients had multiple abscess pathogens. 2. Laboratory evaluation revealed as follows: Pyuria was present in 4 cases (27%), Blood culture were positive in 2 cases (13%) and urine culture was positive in one case. The organisms isolated from blood and urine were felt to be the organism causing the abscesses. 3. There is no remarkable change in species of sensitive drugs, when comparing with that of previous Report I . 4. Four cases had underlying renal diseases (3 in chronic pyelonephritis and 1 in renal injury) and two cases had associated conditions (1 in impetigo and 1 in diabetes)
Abscess* ; Acinetobacter ; Humans ; Impetigo ; Klebsiella ; Pyelonephritis ; Pyuria ; Retrospective Studies

Characteristic skin lesions of Henoch-Sch nlein purpura consist of small hemorrhagic macules, papules, palpable purpura, or urticarial lesions that appear in a symmetric distribution over the buttocks and extensor surfaces of the extremities. In rare cases, some lesions may become nodular, bullous, and ulcerative, especially in severe cases of leukocytoclastic vasculitis. We report two cases of Henoch-Sch nlein purpura presenting as bullous lesions, which should be differentiated from other bullous diseases such as bullous pemphigoid and impetigo.
Blister* ; Buttocks ; Extremities ; Impetigo ; Pemphigoid, Bullous ; Purpura* ; Skin ; Ulcer ; Vasculitis

Bacteriological study, including antibiotic sensitivity tests, of 145 patients with pyodermas such as impetigo, superficial folliculltis, deep folliculitis, ecthyma, paronychia, cellulitis and secondary skin infections, was carried out during the period from June, 1981 to September, 1982 at the Department of Dermatology, Han II hospital. (countinued..)
Cellulitis ; Dermatology ; Ecthyma ; Folliculitis ; Humans ; Impetigo ; Paronychia ; Pyoderma* ; Skin

Impetigo herpetiformis is a rare and severe pustular disorder which primarily occurs in pregnancy. Etretinate and acitretin are effective in impetigo herpetiformis with systemic steroid. A major concern with the use of systemic retinoids is their high teratogenic potential. Isotretinoin is another retinoid but its teratogenic potential lasts only for two months. Hence, isotretinoin may be used to treat women of childbearing years with impetigo herpetiformis. We report a case of impetigo herpetiformis in a 26-year-old woman whose condition was improved with isotretinoin.
Acitretin ; Adult ; Etretinate ; Female ; Humans ; Impetigo ; Isotretinoin ; Pregnancy ; Retinoids

Introduction: Impetigo herpetiformis is a rare pustular disorder that affects pregnant women. It is also otherwise termed as “pustular psoriasis of pregnancy”, owing to the fact that the pustules are sterile and are not associated with a viral etiology. The classic lesions are erythematous patches or plaques with margins studded with subcorneal pustules spreading centrifugally. A cardinal feature of this disorder is the rapid resolution of lesions after delivery. Case Summary: This is a case report of a 33-year-old female, gravida 3, para 2 (2-0-0-2) at 36 weeks age of gestation who presented with one week history of multiple well defined irregularly shaped erythematous annular patches and plaques with marginal pustules on the trunk and extremities. The lesions began on the trunk spreading centrifugally, sparing the face, palms, soles and mucus membrane. Biopsy showed scale crust in the stratum corneum, the epidermis showed acanthosis, spongiosis and neutrophilic microabscesses with focal vacuolar alteration and small sub-epidermal nests on the basal cell layer. The dermis revealed dilated blood vessels and mild superficial perivascular lymphocytic infiltrates. Patient was given Prednisone and Cetirizine with noted resolution of lesions. Conclusion: Recurrences of impetigo herpetiformis in subsequent pregnancies are common with earlier onset in gestation and are characteristically more severe. The complications are placental insufficiency, stillbirth or neonatal death. Early detection is of utmost importance. Management must be multidisciplinary involving a dermatologist, obstetrician and pediatrician.
Pregnancy ; Female ; Impetigo ; Psoriasis ; Skin Diseases, Vesiculobullous ; Exanthema

The staphylococcal scalded skin syndrome encompasses a spectrum of blistering skin disease that ranges in severity from localized bullous impetigo to a generalized syndrome with cutaneous tenderness, widespread blistering, and superficial denudation or desquamation. This disorder is induced by the exfoliative toxin of Stapylococcus aureus. The intermediate form of staphylococcal scalded skin syndrome may be seen that begin as localized bullous impetigo but evolve to produce regionally limited bullae and denuded areas that may or may not harbor causative microorganism. We report six cases of the intermediate form of staphylococcal scalded skin syndrome in Daejeon for a short time. All cases occurred in children under 5 years of age and showed localized bullae and erythroderma with positive Nikolsky's sign.
Blister ; Child ; Dermatitis, Exfoliative ; Humans ; Impetigo ; Skin Diseases ; Staphylococcal Scalded Skin Syndrome*

A case of impetigo herpetiformis occurring in a 25-year-old multigravida woman is reported. Superficial grouped pustules on an erythematous base developed on the flexual areas of both extremities and disseminated all over the body with mild pruritus, fever and burning sensation at her 14th weeks of pregnancy. Histopathologic findings showed acanthosis and subcorneal. pogiform pustule. All lesions had gradually improved within 2 weeks after artificial abortior. Our case demonstrates the characteristic features of impetigo erpetiformis, as compared with pustular psoriasis. This, we emphasize the need to preserve it as a separate entity.
Adult ; Burns ; Extremities ; Female ; Fever ; Humans ; Impetigo* ; Pregnancy ; Pruritus ; Psoriasis ; Sensation

Diagnosis of scabies in young children can be challenging since the morphology and distribution of skin lesions may differ from adults. Therefore, clinicians should keep scabies in mind in their differential diagnosis in a child who presents with severe pruritic, polymorphic skin lesions. Regarding the treatment of scabies, the reported clinical experience with gamma benzene hexachloride (lindane) in young children is quite limited because of its neurotoxicity. However, a recent review suggests that lindane is an excellent alternative drug with minimal risk. We report the case of a 2-month-old male infant with pruritic, erythematous macules, papules, nodules, vesicles, and pustules from the top of the head to the tip of the toes. Initially, he was thought to have impetigo and antibiotics were prescribed. After obtaining a careful history and with the use of skin scraping, he was diagnosed with scabies. He was successfully treated with lindane with no adverse reactions.
Adult ; Anti-Bacterial Agents ; Child ; Diagnosis, Differential ; Head ; Humans ; Impetigo ; Infant ; Lindane ; Male ; Scabies ; Skin ; Toes