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A patient presents with macules, vesicles, bullae, pustules and honey-colored crusting that when removed denudes red areas. which of the following would you suspect?

a) impetigo
b) acne
c) rosacea
d) perioral dermatitis
e) erysipelas
f) SLE

1 Answer

3 votes

Final answer:

The patient's symptoms of macules, vesicles, bullae, pustules, and honey-colored crusting strongly suggest impetigo, which is characterized by those features and typically caused by Staphylococcus aureus or Streptococcus pyogenes.

Step-by-step explanation:

The clinical presentation described by the student, which includes macules, vesicles, bullae, pustules, and honey-colored crusting that reveals red areas when removed, is indicative of impetigo.

Impetigo is a bacterial skin infection characterized by the formation of vesicles, pustules, and bullae, particularly around the mouth area.

This condition is typically caused by bacteria such as Staphylococcus aureus and Streptococcus pyogenes.

The hallmark feature of nonbullous impetigo includes ruptured vesicles and pustules that develop into yellowish, crusted sores.

In bullous impetigo, the larger blisters rupture leading to wide, draining, crusted lesions. Given the symptoms described, impetigo is the most likely diagnosis from the options provided.

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