Item 87 Infections cutanéomuqueuses bactériennes et mycosiques
Sujets tombés aux ECN : 2006, 2008
La patiente, ancienne coiffeuse et présentant une dyslipidémie, prend des AINS, du Daflon.
[NB : les questions n° 6 et 7 ne concernent pas la dermatologie.]
[NB : les questions n° 4, 5, 6 et 7 ne concernent pas la dermatologie.]
Impétigo
I Définition
L’impétigo est une dermatose infectieuse aiguë superficielle non folliculaire, fréquente, cosmopolite.
II Physiopathologie
![image](/wp-content/uploads/2017/04/x25AA-1948.gif)
![image](/wp-content/uploads/2017/04/x25AA-1969.gif)
![image](/wp-content/uploads/2017/04/x25AA-1986.gif)
III Clinique
A Impétigo croûteux
![image](/wp-content/uploads/2017/04/x25AA-2025.gif)
![image](/wp-content/uploads/2017/04/x25AA-2045.gif)
![image](/wp-content/uploads/2017/04/B9782294710384000054_icon04-9782294710384.jpg)
![image](/wp-content/uploads/2017/04/x25AA-2084.gif)
![image](/wp-content/uploads/2017/04/x25AA-2105.gif)
![image](/wp-content/uploads/2017/04/x25AA-2123.gif)
![image](/wp-content/uploads/2017/04/B9782294710384000054_f05-01-9782294710384.jpg)
Fig. 87-1 Impétigo. Croûtes mélicériques péribuccales sur une base inflammatoire.
(Source : Dermatology, par David J. Gawkrodger. 3e édition. Churchill Livingstone, 2002.)
B Impétigo bulleux
![image](/wp-content/uploads/2017/04/x25AA-2201.gif)
![image](/wp-content/uploads/2017/04/x25AA-2220.gif)
![image](/wp-content/uploads/2017/04/B9782294710384000054_icon04-9782294710384-1.jpg)
![image](/wp-content/uploads/2017/04/x25AA-2252.gif)
D Ecthyma
![image](/wp-content/uploads/2017/04/x25AA-2326.gif)
![image](/wp-content/uploads/2017/04/x25AA-2339.gif)
IV Diagnostic
![image](/wp-content/uploads/2017/04/x25AA-2405.gif)
V Complications
![image](/wp-content/uploads/2017/04/x25AA-2455.gif)
![image](/wp-content/uploads/2017/04/B9782294710384000054_icon04-9782294710384-2.jpg)
.
VI Traitement
A Traitement local
![image](/wp-content/uploads/2017/04/x25AA-2501.gif)
B Traitement général
![image](/wp-content/uploads/2017/04/x25AA-2549.gif)
![image](/wp-content/uploads/2017/04/x25AA-2566.gif)
Érysipèle
I Définition
L’érysipèle est une dermo-épidermite aiguë d’origine infectieuse à participation lymphatique.
II Physiopathologie
![image](/wp-content/uploads/2017/04/x25AA-2715.gif)
![image](/wp-content/uploads/2017/04/x25AA-2730.gif)
![image](/wp-content/uploads/2017/04/x25AA-2744.gif)
![image](/wp-content/uploads/2017/04/B9782294710384000054_icon03-9782294710384-1.jpg)
III Clinique
A Érysipèle de jambe ![image](/wp-content/uploads/2017/04/B9782294710384000054_icon03-9782294710384-2.jpg)
![image](/wp-content/uploads/2017/04/x25AA-2781.gif)
![image](/wp-content/uploads/2017/04/x25AA-2797.gif)
![image](/wp-content/uploads/2017/04/x25AA-2809.gif)
.
![image](/wp-content/uploads/2017/04/B9782294710384000054_f05-03-9782294710384.jpg)
Fig. 87-3 Grosse jambe rouge aigüe fébrile.
(Source : Skin Disease, Diagnosis and Treatment, par Thomas P. Habif et al. 2e édition. Elsevier-Mosby, 2005.)
IV
Examens complémentaires*
![image](/wp-content/uploads/2017/04/x25AA-2979.gif)
![image](/wp-content/uploads/2017/04/B9782294710384000054_icon04-9782294710384-8.jpg)
V Diagnostic différentiel* ![image](/wp-content/uploads/2017/04/B9782294710384000054_icon03-9782294710384-4.jpg)
![image](/wp-content/uploads/2017/04/x25AA-3031.gif)
VI Complications
A Complications locales
![image](/wp-content/uploads/2017/04/x25AA-3076.gif)
![image](/wp-content/uploads/2017/04/x25AA-3090.gif)
![image](/wp-content/uploads/2017/04/x25AA-3105.gif)
![image](/wp-content/uploads/2017/04/x25AA-3119.gif)
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