Article Data

  • Views 669
  • Dowloads 150

Original Research

Open Access

Facial and perioral primary impetigo: a clinical study

  • Alexandros Kolokotronis1,*,
  • Stergios Doumas2
  • Maria Lambroudi3
  • Stella Lysitsa2
  • Apostolos Epivatianos1
  • Demetrios Antoniades4

1Oral Medicine and Maxillofacial Pathology, Dental School, Aristotle University of Thessaloniki

2,Thessaloniki

3Dermatologist, Thessaloniki

4Department of Oral Medicine and Maxillofacial Pathology, Dental School, Aristotle University of Thessaloniki, Greece

DOI: 10.17796/jcpd.29.4.t007uq062040k507 Vol.29,Issue 4,October 2005 pp.341-345

Published: 01 October 2005

*Corresponding Author(s): Alexandros Kolokotronis E-mail: kdeod@cieel

Abstract

Impetigo is the most common skin infection in children. The face, especially the perioral region, is one of the most frequently involved areas. Impetigo is a disease that interests the pediatric dentist, as it poses significant problems in its differential diagnosis from other conditions. Sixteen otherwise healthy children were examined suffering from facial and perioral impetigo. The typical clinical appearance was scattered, painless, slightly pruritic erosions covered by “honey-colored” crusts. In 4 children impetigo was localized in the facial and perioral area, whereas in all other cases lesions were diffused in perioral area and several regions throughout the body. Four children exhibited neck lym-phadenopathy and one had mild fever. The treatment of impetigo included the application of topical measures with the systemic antibiotic chemotherapy.


Cite and Share

Alexandros Kolokotronis,Stergios Doumas,Maria Lambroudi,Stella Lysitsa,Apostolos Epivatianos,Demetrios Antoniades. Facial and perioral primary impetigo: a clinical study. Journal of Clinical Pediatric Dentistry. 2005. 29(4);341-345.

References

1. Nevil BW, Damm DD, White DII. Color atlas of clinical oral pathology. 2nd ed. BC Becker; pp. 116, 2003.

2. Fitzpatrick TB, Johnson RA, Wolff K, Suurmod D. Impetigo and Ecthyma: Color atlas & synopsis of clinical dermatology. 4th ed. McGraw-Hill Companies; 2001: 586-591, 2001.

3. Brown J, Shriner DL, Schwartz RA, et al. Impetigo: an update. Int J Derm 42: 251-255, 2003.

4. Dajani AS, Ferrieri P, Wannamaker LW. Natural history of impetigo II: Etiologic agents and bacterial of impetigo II. Etiologic agents and bacterial interactions. J Clin Invest 51: 2863- 2871, 1972.

5. Euvrad S, Kanitakis J, Cochat P, et al. Skin diseases in children with organ transplants. JAAD 44: 932-939, 2001.

6. Hogewoning AA, Goettsch W, van Loveren H, et al. Skin infec-tions in renal transplant recipients. Clin Transplant 15: 32-38, 2001.

7. Whitworth JM, Janniger CK, Oleske JM, Schwartz RA. Cutaneous manifestations of childhood acquired immunodefi-ciency syndrome and human immunodeficiency virus infection. Cutis 55: 62-72, 1995.

8. SahI WJ, Mathewson RJ. Common facial skin lesions in children. Quintessence mt 24: 475-48 1, 1993.

9. Nanda S, Reddy BSN, Ramji S, Pandhi D.Analytical study of pus-tular eruptions in neonates. Ped Dermatol 19: 210-215, 2002.

10. Habif T. Clinical dermatology. A color guide to diagnosis and therapy. 3rd ed. Mosby, pp 236-241, 1996.

11. Sanfilippo AM, Barrio V. Kulp-Shorten C, et al. Common pedi-atric and adolescent skin conditions. J Ped Adol Gynecol 16: 269-283, 2003.

12. Scully C, Welbury R, Flaitz C, et a! A color atlas of orofacial health & disease in children and adolescents. 2nd ed. Dunitz, p 158, 2002.

13. Koning S, van Belkum A, Snijders S. Impetigo in children is asso-ciated with strains harboring genetic markers for exfoliative toxin B, Panton-Valentine leukocidin, and the multidrug resis-tance plasmid pSK41. J Clin Microbiol 41:3017-3021, 2003.

14. Hanakawa Y, Schechter NM, Lin C, et al. Molecular mechanisms of blister formation in bullous impetigo and staphylococcal scalded skin syndrome. J Clin Invest 110: 53-60, 2002.

15. Hanakawa Y, Selwood T, Woo D, et al. Calcium-dependent con-formation of desmoglein 1 is required for its cleavage by exfolia-tive toxin. J Invest Dermatol 12 1: 383-389, 2003.

16. Sakurai S, Suzuki H, Saito S, et al. New evidence that the Tyr-157 and Tyr-159 residues of staphylococcal exfoliative toxin B are essential for its toxicity. Microbiol Immunol 42: 829-836, 1998.

17. Gravet A, Couppie P. Meunier O, et al. Staphylococcus aureus isolated in cases of impetigo produces both epidermolysin A or B and LukE-LukD in 78% of 131 retrospective and prospective cases. J Clin Microbiol 46: 5 1-53, 2001.

18. Akiyama H, Yamasaki O, Kanzaki H, et al. Streptococci isolated from various skin lesions: the interaction with Staphylococcus aureus strains. J Dermatol Sci, 19: 17-22, 1999.

19. Scaramuzzino DA, McNiff JM, Bessen DE. Humanized in vivo model for streptococcal impetigo. Infect Immun 68: 2880-2887, 2000.

20. Kalia A, Spratt BG, Enright MC, et al. Influence of recombina-tion and niche separation on the population genetic structure of the pathogen Streptococcus pyogenes. Infect Immunol 70: 1971-1983, 2002.

21. Darmstadt G, Fleckman P, Jonas M, et al. Differentiation of cul-tured keratinocytes promotes the adherence of Streptococcus pyogenes. J Clin Invest 101: 128-136, 1999.

22. Darmstadt G, Mentele L, Fleckman P, et al. Role of Keratinocyte Injury in Adherence of Streptococcus pyogenes. Infect Immun 67: 6707-6709, 1999.

23. Svensson MD, Sjobring U, Luo F, et al. Roles of the plasminogen activator streptokinase and the plasminogen-associated M pro-tein in an experimental model for streptococcal impetigo. Microbiol 148: 3933-3945, 2002.

24. Darmstadt GL, Fleckrnan P, Rubens CE. Tumor necrosis factor-alpha and interleukin-lalpha decrease the adherence of Streptococcus pyogenes to cultured keratinocytes. J Infect Dis 180: 1718-1721, 1999.

25. Wannamaker LW. Differences between streptococcal infections of the throat and of the skin. N Engi J Med 282: 23-3 1, 1970.

26. Ardiles L, Ramirez P, Moya P, et al. Anticardiolipin antibodies in acute poststreptococcal g!omerulonephritis and streptococcal impetigo. Nephron 83: 47-52, 1999.

27. Dagan R. Impetigo in childhood: changing epidemiology and new treatments. Pediatr Ann 22: 235-240, 1993.

28. Koning S, van der Wouden JC. Fusidic acid cream in the treat-ment of impetigo in general practice: double blind randomized placebo controlled trail. Br Med J 26: 203-206, 2002.

29. Nishijim S, Ohshima S, Higashida T, et al. Antimicrobial resis-tance of Staphylococcus aureus isolated from impetigo patients between 1994 and 2000. Int J Derm 42: 23-25, 2003.

30. Christensen OB, Anehus S. Hydrogen peroxide cream: an alter-native to topical antibiotics in the treatment of impetigo conta-giosa. Acta Derm Venereol 74: 460-462, 1994.

31. Sharquie KE, al-Turfi IA, al-Salloum SM. The antibacterial activ-ity of tea in vitro and in vivo (in patients with impetigo conta-giosa). J Dermatol 27: 706-7 10, 2000.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 2.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top