Blistering distal dactylitis: a manifestation of group A beta-hemolytic streptococcal infection

Blistering Dactylitis Caused by Group B Streptococci

“…The clinical appearance in that case was similar to those cases with infection due to group A streptococci (3,4).…”

“…While nearly all cases of blistering dactylitis have been due to group A p-hemolytic streptococci, a case due to group B streptococci was reported in an adult with poorly controlled diabetes mellitus (1). The clinical appearance in that case was similar to those cases with infection due to group A streptococci (3,4).…”

Blistering distal dactylitis: a case series in children under nine months of age

“…Other reports have shown that the infection may also occur on the toes. This infection, as reported in the literature, characteristically occurs in the 2-16-year-old range (2)(3)(4)(5). To date there has been only one case report of a 7-month-old child with BDD (4).…”

“…This entity usually presents as a medium to large non-tender blister filled with a thin white fluid. Cultures from this fluid most commonly grow group A ␤-hemolytic Streptococcus, and less often Staphyloccous aureus and Staphyloccoccus epidermis (1)(2)(3). The lesions of BDD may be confused with bullous impetigo, herpetic whitlow, and friction, chemical or thermal burns.…”

Is blistering distal dactylitis a variant of bullous impetigo?

“…Blistering distal dactylitis (BDD) is a disease of bullae on erythematous bases. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] The bullae of BDD most commonly and classically manifest on the volar fat pads of the fingers, extending to the subungual area of the free edge of the nail plate as individual bullae (Fig. 1).…”