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Impetigo — DCH MCQ

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ModerateCommon childhood illnessesImpetigoDCH

A 4-year-old child has honey-coloured crusted lesions around the nose after a minor graze. She is afebrile, there is no spreading erythema, and there are three small lesions. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Non-bullous impetigo

Honey-coloured crusting around the nose after minor skin trauma is typical of non-bullous impetigo. Herpes simplex tends to cause grouped painful vesicles, and eczema flare is usually more diffuse and chronic. The teaching point is to advise hygiene measures because impetigo spreads easily in households and schools.

Reference: NICE NG153