General measures Observance of the general rules of hygiene! One of the easiest ways to keep yourself and others healthy is to wash your hands regularly. Hands should be washed under clean running water for at least 20 seconds. Nicotine restriction (refrain from tobacco use). Alcohol restriction (abstaining from alcohol)
Skin and subcutaneous (L00-L99). Allergic contact dermatitis/acute toxic dermatitis – skin lesion triggered by skin contact with certain substances; vesicular dermatitis (vesicular inflammatory reaction of the skin); sharp boundary; pruritus (itching). Facial eczema, other cause (eg, contact allergic, toxic-irritant, atopic, seborrheic). Ichthyoses – group of skin diseases associated with keratoses (cornification disorders) of the epidermis … Bork Lichen (Impetigo Contagiosa): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by impetigo contagiosa (bork lichen): Ears – Wart process (H60-H95). Otitis media (inflammation of the middle ear). Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99). Poststreptococcal glomerulonephritis (synonym: postinfectious glomerulonephritis) – acute glomerulonephritis (inflammatory kidney disease that occurs on both sides … Bork Lichen (Impetigo Contagiosa): Complications
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 … Bork Lichen (Impetigo Contagiosa): Examination
2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification Pathogen detection (streptococci or staphylococci) from the infected regions by swabbing a bladder that is still intact; Gram stain can be used to detect gram-positive cocci
Therapeutic targets Elimination of the pathogens Support the healing process Therapy recommendations Dressing (should be changed twice daily): dab hardness with olive oil: remove crusts; open pustules and blisters with cannula. Local therapy (local therapy): 2% quinolinol ointment (if necessary also: polyvidone iodine ointment) or a disinfecting soft zinc paste; local antibiotics, e.g. fusidic acid, … Bork Lichen (Impetigo Contagiosa): Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Abdominal ultrasonography (ultrasound examination of abdominal organs) – to exclude renal changes in poststreptococcal glomerulonephritis.
To prevent impetigo contagiosa (borky lichen), care must be taken to reduce risk factors. Behavioral risk factors Inadequate hygiene
The following symptoms and complaints may indicate impetigo contagiosa (bork lichen): Onset with red, 0.5-3.0 cm itchy patches (macules) on the face that rapidly 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 … Bork Lichen (Impetigo Contagiosa): Symptoms, Complaints, Signs
Pathogenesis (disease development) Impetigo contagiosa is an infection with Staphyloccocus aureus, less commonly Streptococcus pyogenes, one of the major representatives of GAS (group A streptococci). Infections with Staphylococcus aureus can cause pneumonia (pneumonia), meningitis (meningitis), endocarditis (endocarditis), and even toxic shock syndrome (TSS) and sepsis (blood poisoning), in addition to skin and soft tissue infections. … Bork Lichen (Impetigo Contagiosa): Causes
Medical history (history of illness) represents an important component in the diagnosis of impetigo contagiosa (borky lichen). Family history What is the current health status of your relatives? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). When did you first notice an infection of the skin? What is currently showing: Itchy spots on … Bork Lichen (Impetigo Contagiosa): Medical History
