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November 1940


Author Affiliations


From the Marshfield Clinic.

Arch Derm Syphilol. 1940;42(5):840-855. doi:10.1001/archderm.1940.01490170088008

Two types of impetigo contagiosa of Tilbury Fox can be differentiated, the streptococcic and the staphylococcic. It is the purpose of this article to present the pertinent facts and some additional evidence for the etiology and epidemiology of staphylococcic impetigo contagiosa.

CLINICAL PICTURE  The clinical characteristics of staphylococcic impetigo are best pointed out by comparison with the streptococcic type.Streptococcic impetigo (figs. 1 and 2) is characterized by lesions with thick, so-called stuck-on crusts of a yellowish, honey-like or dirty color. The regional glands are not infrequently swollen. The original vesicle of streptococcic impetigo is so short lived that usually it is not observed; however, on the fingers, where the horny layer is thicker, larger persisting purulent blisters appear, so-called whitlows. On the limbs streptococcic impetigo, otherwise a superficial infection of the epidermis, may penetrate into the cutis and produce crusted ulcerations, which are called ecthyma.Staphylococcic impetigo (figs. 3