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Arch Pediatr Adolesc Med. 2008;162(12):1190.

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Denouement and Discussion: Staphylococcal Scalded Skin Syndrome

A clinical diagnosis of staphylococcal scalded skin syndrome (SSSS) was made based on the diffuse, tender erythroderma and increased erythema of the skin creases (Figure 1). The features distinguishing this from streptococcal scarlet fever were the skin being tender to the touch and the absence of strawberry tongue or palatal exanthem. The patient began receiving intravenous clindamycin phosphate on admission for a clinical diagnosis of SSSS. During the next couple of days the pain decreased, exfoliation of the skin was seen around the eyes and mouth, and the entire skin gradually underwent desquamation, further confirming our diagnosis (Figure 2). Her recovery was uneventful, without secondary skin infection.

Figure appears in full text version. Figure 1. Five-year-old girl with diffuse erythema of the face, neck, chest, and right upper extremity. Desquamation of the skin on the ear, the corner of the mouth, and the chest is also seen.

Figure appears in full text version. Figure 2. Another patient, with . . . [Full Text of this Article]

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