Bullae

EPIDERMOLYSIS BULLOSA

Q81.9

DESCRIPTION

Congenital, hereditary blistering skin lesions with onset in the newborn. Lesions do not have an erythematous base. Loss of nails may occur.

GENERAL AND SUPPORTIVE MEASURES

  • May require monitoring in high or intensive care unit.
  • Aseptic aspiration of bullae on the side can be performed to relieve pressure (ensure the roof of the blister remains intact to protect underlying skin).
  • Prevent infection with appropriate wound care.
  • Attend to fluid and nutrition balance.

REFERRAL

  • All cases.

STAPHYLOCOCCAL SCALDED SKIN SYNDROME

L00

DESCRIPTION

Blistering skin condition that presents like scalded skin.

GENERAL AND SUPPORTIVE MEASURES

  • Appropriate wound care.

MEDICINE TREATMENT

  • Cloxacillin, IV, 50 mg/kg/dose 6 hourly for 5 days.
    • Neonates
      Week 1–2 of age: administer 12 hourly.
      Week 2–4 of age: administer 8 hourly.

OR

  • Flucloxacillin, oral, 25 mg/kg/dose 6 hourly for 7 days.

LoEIII [1]

For Pain Management:
Refer to Management of Pain .

REFERRAL

  • Recalcitrant cases.

CHRONIC BULLOUS DISEASE OF CHILDHOOD

L12.2

DESCRIPTION

Tense blisters that lead to ulceration involving the groin, face and trunk.

DIAGNOSTIC CRITERIA

  • Skin biopsy with immunofluorescence.

GENERAL AND SUPPORTIVE MEASURES

  • Appropriate wound care.

REFERRAL

  • All cases.