3,8) Antibiotics such as topical fucidin 2 to 3 times a day or oral cloxacillin 500 mg 4 times a day are indicated only if there is secondary impetiginization
Often in severe cases there may be cracking and this usually signifies secondary impetiginization.
As discussed in earlier sections, impetiginization is a common complication of isotretinoin therapy in particular impetiginization of cheilitis, xeroderma and eczematous lesions.
Symptoms vary from mild dryness of the vulva or penis (Figure 17) through to severe dryness, cracking, oozing and impetiginization.
Based on clinical signs, we diagnosed the skin lesion as hookworm-related cutaneous larva migrans with secondary impetiginization
More often, however, the staph colonization gets heavier and the skin undergoes impetiginization.
Lots of empiric evidence supports the use of intermittent antibiotics in adults with atopic dermatitis that appears to have undergone impetiginization, even when there are no overt signs of infection.
Physical examination revealed numerous skin-colored vesicles on an erythematous base, with overlying crusting and impetiginization over the distal aspects of the fingers.
However, they are often superinfected with bacteria and may exhibit signs of impetiginization.