Impetigo

RECENTLY IN THE NEWS:

NBC News (3/5/2015) reports on its website that "family practioners, gynecologists and even dentists are getting into the cosmetic procedure business, and dermatologists say they're seeing the side effects."  Several dermatologists "from around the country told NBC News that they've had to the fix the mistakes of physicians who are dabbling in their specialty."  In a statement, the American Academy of Dermatology said, "A dermatologist is a licensed medical doctor and the only residency-trained physician fully educated in the science of cutaneous medicine, which includes medical and surgical conditions of the skin, hair, nails, and mucous membranes."

DRY SKIN CARE:

Keep your bathing to a minimum!  Wash with lukewarm water and keep your bathing to less than 10 minutes.  Wash with a soapless cleanser such as Dove and avoid harsh soaps such as Ivory or Irish Spring.  After bathing, moisturize within a few minutes of patting dry with a towel.  Moisturize with a sensitive-skin moisturizer without fragrance.  If you have a skin condition such as eczema, you will need to moisturize a few times per day.

WOUND CARE:

The day after your procedure, allow the cleanser and water to wash over the site.  That is adequate cleaning of the wound.  Thereafter, apply a generous layer of petroleum jelly (Vaseline) or another greasy substance such as Aquaphor healing ointment.  If the area is in contact with clothing, we advise you to cover it with a dressing.  Repeat the same procedure the next day and every day until the wound has healed.

HOW TO APPLY YOUR TOPICAL RETINOID (ACNE PATIENTS):

Topical retinoids include adapalene (Differin), tretinoin (Retin-A, Atralin, Ziana, Veltin, Tretin-X).  Apply a pea-sized amount to your entire face a few minutes after washing your face at bedtime (since most retinoids are inactivated by sunlight).  If your face is dry with the retinoid, apply a moisturizer prior to the application of the retinoid.  

CARE FOR SKIN IN THE SUN:

Use a daily moisturizer with a sunscreen of SPF 15 or higher on the areas that will be exposed.  If you're going to be directly out in the sun, wear an SPF of 30 or higher and make sure the sunscreen says that it is "broad spectrum."  Remember to reapply after two hours and after swimming or any exercising.  Physical sunscreens which contain titanium dioxide and/or zinc oxide are gentle and will not react with the skin.   Seek shade between the hours of 10 am-4 pm.

Check your skin for any new, changing, non-healing or itching lesions four times a year or every major holiday.  If you notice anything that is new or changing or not healing, please call and get it checked.

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As always, you can contact our office to answer any questions or concerns.

Impetigo is a common skin infection usually found in children and infants. It is characterized as single or multiple blisters filled with pus, which pop easily and leave a reddish, raw-looking base and/or honey-colored crust. In most children, impetigo first appears near the nose and then spreads through scratching to other parts of the face, arms or legs. The blisters tend to be itchy.

There are three forms of impetigo:

Ordinary Impetigo is caused by Streptococcal germs. It appears as red sores that rupture quickly, ooze a fluid and then form a honey-colored crust. It primarily affects children from infancy to age two.

Bulbous Impetigo appears as fluid-filled blisters caused by Staphylococcus germs. This contagious infection is carried by the fluid that oozes from the blisters.

Ecthyma, a more serious form of impetigo that penetrates to the second layer of skin (dermis). It is characterized by sores that are painful and/or fluid or pus-filled. These lesions most commonly appear on the legs or feet. The sores break open and scab with a hard yellow-gray crust. It can also cause swollen lymph glands in the affected area.

Impetigo is generally treated with a seven-to-10-day course of prescription oral antibiotics and/or topical antibiotics. The sores tend to heal slowly, so it is important to complete the full course of medications. Please note that over-the-counter topical antibiotics (such as Neosporin) are not effective for treating impetigo.