What is the diagnosis for painful, non-itchy pustules with honey-crusted lesions?

The diagnosis of painful, non-itchy pustules with honey-crusted lesions is consistent with nonbullous impetigo. This skin infection is commonly caused by Staphylococcus aureus or Streptococcus pyogenes and is characterized by the development of vesicles or pustules that rupture, leading to the formation of golden crusted lesions. The hallmark honey-crusted appearance is a classic sign of nonbullous impetigo, typically located on the face and around the mouth and nose.

In contrast, folliculitis would present as pustules specifically around hair follicles, and while it can be painful, it usually does not lead to the honey-crusted appearance. Atopic dermatitis often features itchy, inflamed skin and is associated with dry patches rather than the painful pustules seen in nonbullous impetigo. Contact dermatitis arises from exposure to irritants or allergens and typically features itchy, red, and inflamed skin, not the hallmark crusting indicative of impetigo.

Thus, the combination of symptoms described aligns most appropriately with nonbullous impetigo.