What skin condition is characterized by large, flaccid bullae and honey-colored crusts around the mouth and nose?

Prepare for the Dunphy Primary Care Exam 3. Utilize flashcards and multiple choice questions, each with hints and explanations, to ensure success. Maximize your study efficiency and excel in your exam!

The skin condition characterized by large, flaccid bullae and honey-colored crusts around the mouth and nose is impetigo. This bacterial infection, usually caused by Staphylococcus aureus or Streptococcus pyogenes, often presents with honey-colored crusts as a result of the traffic of pus-filled blisters that rupture and weep. The presence of large, flaccid bullae is particularly indicative of a more severe form known as bullous impetigo.

Impetigo is most commonly found in young children and can be highly contagious. The honey-colored crusts develop from the drying of exudate from these blisters, making it a hallmark sign of the infection.

While the other options present their own distinct characteristics, they do not manifest in the same way. Burns would show more damage to the skin without the specific crusted appearance, measles would be associated with a different rash and systemic signs like fever and a characteristic progression of spots, and Rocky Mountain Spotted Fever presents with a rash that typically starts at the wrists and ankles, not around the mouth and nose. Each of these conditions has unique clinical presentations that clearly differentiate them from impetigo.

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