Bullous impetigo.

Indian Pediatr

Department of Dermatology, MGM Medical College, Navi Mumbai, India.

Published: March 2014

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The diagnostic utility of immunohistochemistry on paraffin-embedded sections in bullous disorders is useful when frozen tissue is not available. In pemphigus vulgaris and pemphigus foliaceus, an intercellular lace-like staining pattern of IgG4 on lesional tissue by immunohistochemistry has been described, with a comparable sensitivity and specificity to direct immunofluorescence on perilesional tissue. This study aimed to evaluate the staining pattern of IgG4 in non-immunobullous disorders to highlight the potential pitfalls when using this stain.

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Bullous impetigo due to methicillin-resistant Staphylococcusaureus.

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Article Synopsis
  • * Impetigo is frequently seen in children and can be treated with topical antibiotics; however, oral antibiotics may be warranted in cases of outbreaks or multiple lesions.
  • * For abscess-related issues like furuncles and carbuncles, management typically involves incision and drainage, with oral antibiotics reserved for severe cases or immunocompromised patients; methicillin-resistant coverage may be needed if treatments fail.
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