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Understanding Impetigo -- Symptoms

What Are the Symptoms?

  • A small patch of blisters that after a few hours breaks into a red, moist area that oozes or weeps fluid; appears mainly on the face, but also on exposed areas of the arms and legs.
  • In a few days, formation of a golden or dark-yellow crust resembling grains of brown sugar.  The infection may continue to spread at the edges of the affected area or affect other skin areas.

Call Your Doctor If:

You have sores or rash that worsens or becomes more uncomfortable.  An impetigo infection needs prompt medical attention.

  • Small, very itchy, pus-filled ulcers form, with a dark brown crust.  This indicates ecthyma, an ulcerated form of impetigo that penetrates deep into the skin.  If left untreated, it may cause scarring and permanent changes in pigmentation.
  • Urine changes, body swelling, nausea, or headache develop. These could be signs of glomerulonephritis, a kidney disease caused by bacterial toxins. 

NOTE:  Sores associated with impetigo may be mistaken for herpes, a viral infection.  Impetigo spreads faster, never develops inside the mouth, and is rarely confined to one area of the body.  If in doubt, see a doctor for an accurate diagnosis.

WebMD Medical Reference

Reviewed by Louise Chang, MD on December 10, 2008
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