Aile Hekimliğinde Sık Karşılaşılan Bir Hastalık; Büllöz İmpetigo Sevk mi, Tedavi mi?

Abstract

Impetigo is a superficial, contagious infection of the skin in two clinical forms; non-bullous and bullous. Seventy percent of the cases is in non-bullous form. In almost all cases of bullous impetigo the etiological agent is coagulase positive S. Aureus. Preschool and school children are affected more often. Frequently settled regions are especially perioral and perinasal areas of the face, and less frequently are the extremities.Case: 3 years old female, having an erythematous main lesion on face, especially around the mouth and nose, with honey colored scab and satellite lesions around it, a 1 cm X 1 cm clean blister on the distal part of thumb of right hand, two brown colored scabby lesions with tiny bulla on the left hand. With respect to the typical appearance of the lesions, clean bulla on right hand thumb and lesions on dorsal part of left hand with central scabs, it is diagnosed as bullous impetigo. Discussion: Non-bullous impetigo can be easily diagnosed morphologically with appearance of typical honey-colored scabs. The important point is to diagnose secondary impetiginization of primary dermatologic lesions. Diagnosis and treatment of dermatological lesions may be thought to be difficult when they are first seen by a nondermatologist physician, , but they may be easily treated if there is enough experience and unnecessary referrals are prevented. Addition of dermatology rotation to Family Medicine specialty training, even electively, may be a positive step.