Scribd
Upload
14 views22 pages

Pyoderma II

The document outlines various skin infections, including paronychia, periporitis, SSSS, and secondary pyoderma, detailing their causes, symptoms, and treatments. It also discusses superficial skin infections like erythrasma, pitted keratolysis, and trichomycosis axillaris, along with management principles focusing on addressing predisposing factors. Diagnosis often involves bacterial cultures or histopathological examination, and treatments range from topical to systemic antibiotics and antifungals.

Uploaded by

S S
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
14 views22 pages

Pyoderma II

The document outlines various skin infections, including paronychia, periporitis, SSSS, and secondary pyoderma, detailing their causes, symptoms, and treatments. It also discusses superficial skin infections like erythrasma, pitted keratolysis, and trichomycosis axillaris, along with management principles focusing on addressing predisposing factors. Diagnosis often involves bacterial cultures or histopathological examination, and treatments range from topical to systemic antibiotics and antifungals.

Uploaded by

S S
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 22

Pyoderma II

Paronychia
• Acute infection of nail fold
• Facilitated by cuticular damage
• Clinically as painful swelling of proximal lateral nail fold
• Bacterial c/s helps in diagnosis
• Treatment:
Incision, drain
Systemic, topical antibiotic

3
Periporitis
• Staph infection of sweat gland-pustule
• Face, buttock, upper trunk, scalp
• Erythematous deep seated nodules

4
SSSS
• Generalized confluent, exfoliative disease
• Neonates, children
• Exfoliative exotoxins type A and type B liberated by Staph
• Fever, tenderness, erythema in neck, groin, axilla f/b generalized
desquamation
• Diagnosis by HPE,
• Treatment systemic antibiotic

5
Secondary pyoderma
• bacterial infection in pre existing skin diseases( scabies, pediculosis )
• Treatment :
topical, oral antibiotic
Treat pre existing disease

6
Superficial skin infections

• Overgrowth of normal flora


3 infections
Erythrasma
Pitted keratolysis
Trichomycosis axillaris

7
Erythrasma
• C minutissimum
• Humid climate, occlusion
• Sharp reddish brown macules
• Groin fold, axilla, gluteal,
submammary folds
• Coral red florescence
Topical: azole antifungal

8
Pitted keratolysis Trichomycosis axillaris

• Asymptomatic, odour, itching • Adherent yellow concretions on


• Discrete, confluent pits in toe hair shaft,
webs, heels • Can be hard, soft, pubic area
• Treatment : reduce moisture, • Shaving, clipping, topical
benzoyl peroxide antimicrobials

9
General principles of management
• Treat predisposing factors
• Poor hygiene, malnutrition, recurrent trauma, DM, pre existing skin
diseases, congenital, acquired immunodeficiency,
Investigations – (recurrent, recalcitrant infections)

10

You might also like