- Caused by bacteria Streptococcus pyogenes and/or Staphylococcus aureus.
- Usually affects children.
- Often occurs on exposed areas such as the hands and face.
- Pustules and round, crusted, oozing patches which get bigger.
- If oozing, cover the affected areas, avoid close contact with others and keep the child away from school.
- Antibiotic ointment.
- Oral antibiotics.
- In resistant cases consider treating carrier sites or household contact who might be a carrier.
- History of eczema.
- Exposure to a contact with recurrent Herpes simplex virus infection.
- Excoriated red, papules, vesicles and crusts.
- Small umbilicated vesicles.
- More painful than itchy.
- Systemically unwell.
- A potentially life-threatening superinfection which should be treated as a dermatologic emergency.
- Oral antiviral agents.
Contributed by Dr Vasa Gnanapragasam, a GP in Sutton, Surrey