A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; further:
- Inspection (viewing).
- Skin, mucous membranes, mouth, throat, and tongue [It shows:
- Onset with red itchy patches (macules) 0.5-3.0 cm in size on the face that quickly change to vesicles (vesicles) and bulla (blisters) with clear contents
- Transformation of the vesicles and blisters into smaller and larger pustules (pustules).
- After bursting of the pustule it comes to exudation (secretion) of a purulent serous tissue fluid, which dries up: it forms so the honey-colored to brownish crust typical of the disease on the face and hairy facial area (= bark lichen, smut)
- Pustules (pustules) in the area of the palms and soles can persist for a long time]
- Skin, mucous membranes, mouth, throat, and tongue [It shows:
- Inspection (viewing).
Square brackets [ ] indicate possible pathological (pathological) physical findings.
