• Pediatric emergency care · Mar 2022

    Recognizing and Managing Staphylococcal Scalded Skin Syndrome in the Emergency Department.

    • Quoc-Bao D Nguyen, Mai-Anh N Vu, and Adelaide A Hebert.
    • UTMB School of Medicine, Galveston, TX.
    • Pediatr Emerg Care. 2022 Mar 1; 38 (3): 133135133-135.

    AbstractStaphylococcal scalded skin syndrome is a superficial blistering disorder caused by exfoliative toxin-releasing strains of Staphylococcus aureus. Bacterial toxins are released hematogenously, and after a prodromal fever and exquisite tenderness of skin, patients present with tender erythroderma and flaccid bullae with subsequent superficial generalized exfoliation. The head-to-toe directed exfoliation lasts up to 10 to 14 days without scarring after proper treatment. Children younger than 6 years are predominantly affected because of their lack of toxin-neutralizing antibodies and the immature renal system's inability to excrete the causative exotoxins. The epidemiology, pathophysiology, and essential primary skin lesions used to diagnose staphylococcal scalded skin syndrome are summarized for the pediatric emergency medicine physician.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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