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Seymour J. White, M.D.
Lawrence, Mass.

Arch Derm Syphilol. 1941;43(4):704-705.

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To the Editor:—

As one who had the privilege of listening to the late Dr. Sabouraud, I should like to make a few remarks about the article by Dr. Stephan Epstein on staphylococcic impetigo contagiosa (ARCH. DERMAT. & SYPH. 42:840 [Nov.] 1940).

Sabouraud described the primary lesion of impetigo as a short-lived, rarely visible bulla. Dr. Epstein describes the primary lesion of streptococcic impetigo as a vesicle and considers a bulla to be the primary lesion of staphylococcic impetigo.

Sabouraud includes among the various forms of impetigo one which he names bullous impetigo and which he identifies with impetigo contagiosa of Tilbury Fox. He writes: "In some cases impetigo infects all the members of a family. This is bullous impetigo (impetigo contagliosa of Tilbury Fox). All impetigos are contagious but this form is more so than the others. All impetigos are bullous, but this is the only form which . . . [Full Text PDF of this Article]

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