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Impetigo vs Other Common Skin Rashes

Impetigo vs Other Common Skin Rashes at The Kingston Pharmacy, Kingston upon Thames

How impetigo differs from other common skin rashes, the signs that suggest impetigo, and when to seek professional advice.

What Is Impetigo?

Impetigo is a bacterial skin infection that affects the outer layers of the skin.


It is usually caused by bacteria entering through damaged skin and is highly contagious.

The infection commonly affects

  • The face
  • Around the nose
  • Around the mouth
  • Hands
  • Arms
  • Other exposed areas of skin

Without treatment, impetigo can spread to nearby skin and to other people through close contact.

What Does Impetigo Look Like?

Impetigo often begins as small red sores, spots, or blisters.

Burst open
Ooze fluid
Form yellow or golden-brown crusts
Spread gradually

The crusts are often described as looking similar to dried honey.


This appearance is one of the most recognisable signs of impetigo.

Impetigo vs Eczema

Eczema is a long-term inflammatory skin condition that causes dry, itchy, and irritated skin. While eczema can sometimes become infected, eczema itself differs from impetigo in several ways.

Eczema typically causes

  • Dry skin
  • Intense itching
  • Recurrent flare-ups
  • Larger patches of irritation
Impetigo is more likely to cause

  • Oozing sores
  • Honey-coloured crusts
  • Localised infection
  • Rapid spread over several days

People with eczema may be more susceptible to developing impetigo because the skin barrier is often damaged.

Impetigo vs Cold Sores

Cold sores are caused by the herpes simplex virus and commonly develop around the lips.

Cold sores often include

  • Tingling
  • Burning
  • Small clusters of blisters
  • Symptoms concentrated around the lips and mouth
Impetigo may cause

  • Larger crusted lesions
  • Honey-coloured scabs
  • Wider spread across surrounding skin

Because both conditions can occur around the mouth, they are sometimes confused.

Impetigo vs Contact Dermatitis

Contact dermatitis occurs when the skin reacts to an irritant or allergen.

Common triggers include

  • Soaps
  • Cosmetics
  • Cleaning products
  • Metals
  • Fragrances

Contact dermatitis often causes redness, itching, dryness, and widespread irritation.


Unlike impetigo, contact dermatitis does not usually cause yellow crusting, oozing bacterial infection, or progressive spread through bacterial contamination.


Removing the trigger often helps improve contact dermatitis symptoms.

Impetigo vs Insect Bites

Insect bites can initially resemble early impetigo because both may start as small red spots.

Insect bites typically cause

  • Itching
  • Local swelling
  • A visible bite mark
Impetigo is more likely to

  • Develop crusting
  • Ooze fluid
  • Spread gradually
  • Form multiple lesions

Sometimes an insect bite can become infected, which may make it look more similar to impetigo.


Professional assessment can help determine the cause.

Impetigo vs Chickenpox

Chickenpox is a viral infection that causes a widespread blistering rash.

Unlike impetigo, chickenpox usually

  • Affects large areas of the body
  • Causes lesions at different stages
  • Is often associated with fever and feeling unwell
  • Produces widespread itching

Impetigo is generally more localised and commonly affects the face.


Although both conditions can blister, their overall appearance is usually quite different.

Signs That Suggest It Could Be Impetigo

Several features make impetigo more likely.

Impetigo warning signs

  • Yellow or golden crusts
  • Oozing sores
  • Rapid spread
  • Crusting around the nose or mouth
  • Multiple nearby lesions
  • Highly contagious skin changes

If these symptoms are present, impetigo becomes more likely than many other common skin conditions.

When Should You Seek Treatment?

You should seek advice if symptoms suggest impetigo, if the rash is spreading, or if the diagnosis is unclear.

Seek advice if

  • You think the rash may be impetigo
  • Yellow crusts are developing
  • The rash is spreading
  • Symptoms are worsening
  • Other household members are affected
  • The diagnosis is unclear

Prompt assessment can help confirm the cause and determine whether treatment is required.

How Pharmacy First Can Help

Under the NHS Pharmacy First service, trained pharmacists can assess eligible patients with suspected impetigo.

During your consultation, we may

  • Review your symptoms
  • Examine the affected skin
  • Determine whether impetigo is likely
  • Supply treatment where appropriate
  • Provide advice on preventing spread

Many patients can access treatment directly through the pharmacy without needing a GP appointment.


If referral is needed, we can also help direct you to the most appropriate healthcare service.

What to Do Next

If you are unsure whether your rash could be impetigo, it is worth seeking advice early.


Prompt assessment can help reduce the risk of spreading infection and ensure you receive appropriate treatment.


Our pharmacy offers confidential NHS Pharmacy First consultations for impetigo and can assess whether treatment may be suitable for you.


If you are concerned about a rash that is crusting, spreading, or not healing as expected, contact our pharmacy team and we will be happy to help.

Ready to get started with Impetigo?

Complete a short consultation and our team will take care of the rest.

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