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PRACTICAL LESSON NR.3.

PYODERMAS. SCABIES.
PEDICULOSIS.
Emeț Iulia
asistent universitar
SKIN MICROBIOME
HOST RESPONSE AGAINST BACTERIA
STAFILOCOCAL CUTANEOUS INFECTIONS
• Clasification
• Stafilococal infections of glabrous skin:
• bullous: bullous impetigo; Staphylococcal skin scalded syndrome;
• erythemato-scuamos: exfoliative eritroderma Ritter von Rittersheim;
• exophytic form: pyogenic granuloma.
• Stafilococcal infections with sweat glands involvement:
• multiple abscesses of infant (pseudofurunculosis);
• hidradenitis supurativa.
• Stafilococcal infections with follicular involvement:
• superficial folliculitis: osteofoliculitis (impetigo Bockhart);
• deep folliculitis: stafilococcal sycosis.
• Perifoliculitis: furuncule; carbuncle.
• Stafilococcal infections of the nails:
• perionixis;
• onixis.
ETHIOLOGY
IMUNOPATOGENISIS OF STAFILOCOCICCAL PYODERMAS

https://doi.org/10.1016/j.cimid.2016.08.004
IMPETIGO BULOUS STAFILOCOCIC
STAPHYLOCOCCAL SKIN SCALDED SYNDROME
STAPHYLOCOCCAL SKIN SCALDED
SYNDROME
Nicolsky sign/histopathologic exam
PYOGENIC GRANULOMA
MULTIPLE ABSCESSES OF THE INFANTS (PSEUDOFURUNCULOSIS)
HIDRADENITIS SUPPURATIVA

Sabat, R., Jemec, G.B.E., Matusiak, Ł. et al. Hidradenitis suppurativa. Nat Rev Dis Primers 6, 18 (2020).
https://doi.org/10.1038/s41572-020-0149-1
IMPETIGO OF BOCKHART (SUPERFICIAL FOLLICULITIS)
STAFILOCOCCAL SYCOSIS
FURUNCULE
CARBUNCLE
PERIONIXIS STAFILOCOCCAL
CUTANEOUS STREPTOCCI:ETHIOLOGY
STREPTOCOCIILE CUTANATE:PATOGENEZA
CLASIFICATION CUTANEOUS STREPTOCOCCAL INFECTIONS

• Erythematous:
erysipelas
• Bullous:
contagious impetigo
cheilitis
turniola
• Erythemato-scuamoas:
Pityriasis alba
• Erosive and ulcerative:
intertrigo
ecthyma
PATHOGENESIS OF CELLULITIS

Cranendonk et al. Insights into pathophysiology and management of cellulitis.


ERYSIPELAS
CONTAGIOUS IMPETIGO TILBURY-FOX
STREPTOCOCICCAL CHEILITIS
TURNIOLA (PERIONIXIS)
PITYRIAZISUL ALBA
STREPTOCOCCAL INTERTRIGO
STREPTOCOCCAL ECTHYMA
STAPH PYODERMAS:LABORATORY TESTS
STREPTOCOCCAL PYODERMAS : LAB TESTS
SCABIES
SCABIES SPECIFIC SKIN LESION
SCABIES NON-SPECIFIC SKIN LESIONS
SCABIES:PARTICULAR CLINICAL FORMS
• Incognito
• Nodular
• Norvegiane
• Papulous
SCABIES: TREATMENT
https://doi.org/10.1111/jdv.14351
PEDICULOSIS
HEAD LICE
PEDICULOSIS CORPORIS

https://doi.org/10.1016/j.jaad.2019.05.110
PHYTIRIUS PUBIS
PEDICULOSIS: TREATMENT
BOALA LYME: PATOGENESIS
BOALA LYME (BORELIOSIS): ERYTHEMA MIGRANS
Borrelia Lymphocytoma
Acrodermatitis Chronica Atrophicans (ACA)

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