staphylococcal scalded
skin syndrome，9
cases
and literature review
Lu XG, Liu CX, Wei JR, Liu XL, Ni LF, Liao JX,
Li CR
Shenzhen Children’s Hospital, Shenzhen, China, 518026
Objective: This paper gives a
discussion about the manifestations, differential diagnosis and treatment
in staphylococcal scalded skin syndrome (SSSS).
Methods: 9 patients were
retrospectively analyzed and reviewed with literatures about the clinical
presentations and treatment.
Results: Of 9 patients 7 were
male and 2 female. The ages were from 6 months to 6 years old. The rashes
were occurred on the face and around the mouth firstly, and spread to the
neck, armpit and groin. The rash would affect all over the body surface
soon. The skin presented the red patch with tenderness. After on the patch,
epidermal necrolysis and bulla followed one by one. The color of rashes
became weaker and weaker after using antibiotics. On the second or the
third day, the scale appeared. The radial fawn fissures around mouth were
found in all patients during initial stages. 5 cases appeared turgid
eyelid; conjunctiva red with purulent secretion.4 cases had low fever. The
local nursing was carried out to the skin and eyes.
Conclusion: SSSS is a kind of
cutaneous disease mainly found in children (<5 years old) and caused by
exfoliative toxin.The scarlet rash, serious epidermis damage in neck,
armpit and groin, the radial fissures around mouth and tenderness are major
characteristic symptoms of this disease. It can be distinguished with
staphylococcal toxic epidermal necrolysis by clinical features. SSSS will
heal rapidly through early antibiotic therapy and tender nursing on skin
and eyes.