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Image Number 985 (Staphylococcal scalded skin syndrome)


Diagnosis: Staphylococcal scalded skin syndrome

Site: Face

Sex: M

Age: 2

Type: Clinical

Description: Perioral exudative crusting

Submitted by: Shahbaz Janjua

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Differential Diagnosis

History: Staphylococcal scalded skin syndrome(SSSS) is a toxin-mediated type of exfoliative dermatitis caused by toxigenic strains of Staphylococcus aureus.  Infants and young children are most commonly affected.  SSSS originates from a focus of infection that may be a purulent conjunctivitis, otitis media, or occult nasopharyngeal infection. It usually begins with fever, irritability, and a  generalized erythema with cutaneous tenderness.  Periorificial and flexural accentuation may be observed as in this case.  A blistering eruption follows within 24 to 48 hours.

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