Sally, age 25, presents with impetigo that has been diagnosed as infected with Staphylococcus.The clinical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that is ulcerating.Her recent treatment has not been adequate.Which type of impetigo is this?

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Quizplus · Accepted Answer

The clinical presentation of pruritic tender, red vesicles surrounded by erythema with a rash that is ulcerating is consistent with ecthyma, which is a deeper form of impetigo that involves the dermis. It is often caused by Staphylococcus aureus, and the previous treatment was not adequate, indicating a need for more aggressive management. Bullous impetigo presents with fluid-filled blisters, while nonbullous impetigo presents with small pustules or honey-colored crusts. Staphylococcal scalded skin syndrome (SSSS) is a rare, potentially serious skin condition caused by certain strains of Staphylococcus aureus that produce exfoliative toxins.

Sally, Age 25, Presents with Impetigo That Has Been Diagnosed