Daily Bolus of LR: Staph Scalded Skin Syndrome

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November 15, 2011 by dailybolusoflr

Staph Scalded Skin Syndrome


·         Most presentations are seen in newborns and infants and children under 5, likely due to the lack of antibody response to the staph exotoxins

·         Is caused by the release of epidermolytic toxins A and B

·         Characterized by the initial development of erythema followed by blistering and rupture of the blister with sloughing of skin

·         Constitutional symptoms such as irritability, poor feeding, nasal discharge with crusting etc may be present

·         The denuded skin is red and raw, looking like a burn  (hence the name)

·         Can affect any part of the body, but in infants tends to be more focally found in the perineum/diaper area and around the umbilicus

·         Affects only the top layer of skin and does not go down to the dermis-epidermis layer (like TEN, SJS)

·         Nikolsky sign is often present

·         Treatment involves IV antibiotics that cover staph, IVF and infection precautions as needed and local wound care


See photos here: http://dermnetnz.org/bacterial/scalded-skin-syndrome.html


Ref: Pediatric Annals. October 2010. 39:10  



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