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Neonate with staphylococcal scalded skin syndrome

Medisch Centrum Rijnmond-Zuid, Rotterdam, the Netherlands

Correspondence to:
Correspondence to:
Dr Baartmans
Medisch Centrum Rijnmond-Zuid, Department of Pediatrics, Postbus 9191, Rotterdam 3007AC, the Netherlands; Baartmansm@mcrz.nl; mgabaartmans@kabelfoon.nl

The first 150 words of the full text of this article appear below.

This boy was born after an uncomplicated pregnancy and delivery. On the 5th day of life, a small blister was seen on the right buttock and thigh. During the course of a few hours, erythema developed on the trunk and blisters in the napkin area. The patient was admitted to our burn centre, and the diagnosis of staphylococcal scalded skin syndrome (SSSS) was made. His vital functions and temperature remained normal. The skin was reddened and painful, with 50% of the total body area covered by blisters. The Nikolsky sign (separation of the superficial skin from the deeper layers on application of light pressure) was positive. The mucous membranes of the mouth and anus were unaffected. During the next few hours the blisters became more extensive, until they involved 90% of the total body area (fig 1).

View larger version (89K): [in this window] [in a new window]   Figure 1  The patient a few hours after the diagnosis of staphylococcal scalded skin . . . [Full text of this article]