Name of the Condition

• Common name(s): Bockhart's impetigo
• Medical terms: Impetigo of Bockhart, Staphylococcal impetigo

Summary

Bockhart's impetigo is a superficial bacterial skin infection primarily caused by staphylococcal bacteria. It typically affects hair follicles, leading to pustule formation.

Causes

Bockhart's impetigo is usually caused by Staphylococcus aureus bacteria. The infection can occur when these bacteria enter the skin through small cuts, insect bites, or abrasions, particularly in hair-bearing areas.

Risk Factors

• Crowded or unsanitary living conditions
• Poor hygiene
• Warm, humid environments
• Skin injuries or conditions like eczema
• Children are more commonly affected due to weaker immune systems and frequent skin injuries.

Symptoms

• Red, itchy, and inflamed skin around hair follicles
• Small pustules or blisters that rupture and form a yellow crust
• Mild discomfort or itching at the infection site

Diagnosis

• Physical examination by a healthcare professional
• Sometimes, a bacterial culture may be taken from the pustules to confirm the staphylococcal infection and rule out other conditions.

Treatment Options

• Topical antibiotics: Mupirocin or fusidic acid, applied directly to affected areas.
• Oral antibiotics: May be prescribed in severe cases or if the infection spreads.
• Proper skin hygiene and cleansing to prevent re-infection or spreading.

Prognosis and Follow-Up

• With timely and appropriate treatment, Bockhart's impetigo usually resolves completely without complications.
• Follow-up is generally not required unless there is recurrent infection or inadequate response to treatment.

Complications

• Potential for spreading to surrounding skin if untreated.
• Rarely, secondary infections or systemic involvement if staphylococcal bacteria enter the bloodstream.

Lifestyle & Prevention

• Maintain good personal hygiene.
• Clean and cover skin injuries promptly.
• Avoid sharing personal items like towels or razors.
• Regular handwashing to prevent bacterial spread.

When to Seek Professional Help

• Lack of improvement with home care after a few days
• Increasing redness, swelling, pain, or pus discharge
• Fever or systemic symptoms indicating potential complications

Additional Resources

• American Academy of Dermatology (AAD): Learn About Impetigo
• Centers for Disease Control and Prevention (CDC): Impetigo Information

Tips for Medical Coders

• Ensure accurate classification under ICD code L01.02 by confirming the presence of staphylococcal infection.
• Avoid misclassification with other forms of impetigo or different skin conditions.