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DermAtlas: BACK - staphylococcal scalded skin syndrome
© 2001-2009, DermAtlas
Image Name: Staph_Scalded_Skin_1_090828   File Type: jpg
Diagnosis: STAPHYLOCOCCAL SCALDED SKIN SYNDROME /
STAPHYLOCOCCAL INFECTION
  Category: infections and infestations /
toxin mediated disorder
Body Site: back / neck
total body / face
  Age: 4 years
Contributor: Catherine Albert    
Description:
Comments: A 3.5-year-old girl had a 2 day history of progressive erythema on the back, neck, and face particularly around her ears. Twelve days earlier she had a mosquito bite which became secondarily infected 2 days later with the development of superficial bullae and honey-colored crusts. Two days before evaluation she developed diffuse tender red skin and low grade fevers. Although she had peeling lips, her mucous membranes were clear. She improved with anti-Staphylococcal antibiotics, and 7-10 days later experienced widespread peeling.
Related Images: All related Images  Staph_Scalded_Skin_4_090828  Staph_Scalded_Skin_3_090828  Staph_Scalded_Skin_2_090828 

DermAtlas: BACK - staphylococcal scalded skin syndrome
© 2001-2009, DermAtlas
Image Name: Staph_Scalded_Skin_2_090828   File Type: jpg
Diagnosis: STAPHYLOCOCCAL SCALDED SKIN SYNDROME /
STAPHYLOCOCCAL INFECTION
  Category: infections and infestations /
toxin mediated disorder
Body Site: back / neck
total body / face
  Age: 4 years
Contributor: Catherine Albert    
Description:
Comments: A 3.5-year-old girl had a 2 day history of progressive erythema on the back, neck, and face particularly around her ears. Twelve days earlier she had a mosquito bite which became secondarily infected 2 days later with the development of superficial bullae and honey-colored crusts. Two days before evaluation she developed diffuse tender red skin and low grade fevers. Although she had peeling lips, her mucous membranes were clear. She improved with anti-Staphylococcal antibiotics, and 7-10 days later experienced widespread peeling.
Related Images: All related Images  Staph_Scalded_Skin_4_090828  Staph_Scalded_Skin_3_090828  Staph_Scalded_Skin_1_090828 

DermAtlas: BACK - staphylococcal scalded skin syndrome
© 2001-2009, DermAtlas
Image Name: Staph_Scalded_Skin_3_090828   File Type: jpg
Diagnosis: STAPHYLOCOCCAL SCALDED SKIN SYNDROME /
STAPHYLOCOCCAL INFECTION
  Category: infections and infestations /
toxin mediated disorder
Body Site: back / neck
total body / face
  Age: 4 years
Contributor: Catherine Albert    
Description:
Comments: A 3.5-year-old girl had a 2 day history of progressive erythema on the back, neck, and face particularly around her ears. Twelve days earlier she had a mosquito bite which became secondarily infected 2 days later with the development of superficial bullae and honey-colored crusts. Two days before evaluation she developed diffuse tender red skin and low grade fevers. Although she had peeling lips, her mucous membranes were clear. She improved with anti-Staphylococcal antibiotics, and 7-10 days later experienced widespread peeling.
Related Images: All related Images  Staph_Scalded_Skin_4_090828  Staph_Scalded_Skin_2_090828  Staph_Scalded_Skin_1_090828 

DermAtlas: BACK - staphylococcal scalded skin syndrome
© 2001-2009, DermAtlas
Image Name: Staph_Scalded_Skin_4_090828   File Type: jpg
Diagnosis: STAPHYLOCOCCAL SCALDED SKIN SYNDROME /
STAPHYLOCOCCAL INFECTION
  Category: infections and infestations /
toxin mediated disorder
Body Site: back / neck
total body / face
  Age: 4 years
Contributor: Catherine Albert    
Description:
Comments: A 3.5-year-old girl had a 2 day history of progressive erythema on the back, neck, and face particularly around her ears. Twelve days earlier she had a mosquito bite which became secondarily infected 2 days later with the development of superficial bullae and honey-colored crusts. Two days before evaluation she developed diffuse tender red skin and low grade fevers. Although she had peeling lips, her mucous membranes were clear. She improved with anti-Staphylococcal antibiotics, and 7-10 days later experienced widespread peeling.
Related Images: All related Images  Staph_Scalded_Skin_3_090828  Staph_Scalded_Skin_2_090828  Staph_Scalded_Skin_1_090828 

DermAtlas: BACK - drug reaction
© 2001-2009, DermAtlas
Image Name: Drug_Induced_Pyoderma_1_090304   File Type: jpg
Diagnosis: DRUG REACTION /
STAPHYLOCOCCAL INFECTION /
STAPHYLOCOCCAL PUSTULOSIS
  Category: drug reaction /
treatment complication
Body Site: back / trunk   Age: 62 years
Contributor: Sarathi Padma    
Description: diffuse urticaria with excoriated papules, pustules, and crusted papules
Comments: This 62-year-old woman with metastatic breast carcinoma developed urticaria following intravenous radiation therapy with bandronate and chemotherapy with trastuzumab, paclitaxel, and carboplatin. Two days later she developed pustules and crusted papules which grew Staphylococcus aureus and resolved with oral antistaphylococcal antibiotics.

DermAtlas: FACE - staphylococcal scalded skin syndrome
© 2001-2009, DermAtlas
Image Name: staphylococcal_scalded_skin_syndrome_5_090120   File Type: jpg
Diagnosis: STAPHYLOCOCCAL SCALDED SKIN SYNDROME /
STAPHYLOCOCCAL INFECTION
  Category: infections and infestations /
reactive erythema /
vesiculobullous eruptions
Body Site: face / total body   Age: 6 months
Contributor: Bernard Cohen, MD    
Description: generalized erythema, scaling, and periorificial crusting
Comments: This healthy 6-month-old girl developed a low grade fever, incresed fussiness, and generalized erythema with scaling, crusting, and fissuring accentuated around the mouth and skin creases. An erosion appeared after her mother placed her on the examining table typical of a Nikolsky sign. Methicillin sensitive Staphylococcus aureus grew from a skin culture taken from her nares. She did well on oral antibiotics, acetominophen, and topical emollients with drying of the crusts and clearing of the erythema in 2 days and diffuse desquamation 5 days later.
Related Images: All related Images  staphylococcal_scalded_skin_syndrome_1_090120  staphylococcal_scalded_skin_syndrome_2_090120  staphylococcal_scalded_skin_syndrome_3_090120  staphylococcal_scalded_skin_syndrome_4_090120 

DermAtlas: ABDOMEN - staphylococcal scalded skin syndrome
© 2001-2009, DermAtlas
Image Name: staphylococcal_scalded_skin_syndrome_4_090120   File Type: jpg
Diagnosis: STAPHYLOCOCCAL SCALDED SKIN SYNDROME /
STAPHYLOCOCCAL INFECTION
  Category: infections and infestations /
reactive erythema /
vesiculobullous eruptions
Body Site: abdomen / total body
leg
  Age: 6 months
Contributor: Bernard Cohen, MD    
Description: generalized erythema, scaling, and periorificial crusting
Comments: This healthy 6-month-old girl developed a low grade fever, incresed fussiness, and generalized erythema with scaling, crusting, and fissuring accentuated around the mouth and skin creases. An erosion appeared after her mother placed her on the examining table typical of a Nikolsky sign. Methicillin sensitive Staphylococcus aureus grew from a skin culture taken from her nares. She did well on oral antibiotics, acetominophen, and topical emollients with drying of the crusts and clearing of the erythema in 2 days and diffuse desquamation 5 days later.
Related Images: All related Images  staphylococcal_scalded_skin_syndrome_1_090120  staphylococcal_scalded_skin_syndrome_2_090120  staphylococcal_scalded_skin_syndrome_3_090120  staphylococcal_scalded_skin_syndrome_5_090120 

DermAtlas: ABDOMEN - staphylococcal scalded skin syndrome
© 2001-2009, DermAtlas
Image Name: staphylococcal_scalded_skin_syndrome_3_090120   File Type: jpg
Diagnosis: STAPHYLOCOCCAL SCALDED SKIN SYNDROME /
STAPHYLOCOCCAL INFECTION
  Category: infections and infestations /
reactive erythema /
vesiculobullous eruptions
Body Site: abdomen / total body
leg
  Age: 6 months
Contributor: Bernard Cohen, MD    
Description: generalized erythema, scaling, and periorificial crusting
Comments: This healthy 6-month-old girl developed a low grade fever, incresed fussiness, and generalized erythema with scaling, crusting, and fissuring accentuated around the mouth and skin creases. An erosion appeared after her mother placed her on the examining table typical of a Nikolsky sign. Methicillin sensitive Staphylococcus aureus grew from a skin culture taken from her nares. She did well on oral antibiotics, acetominophen, and topical emollients with drying of the crusts and clearing of the erythema in 2 days and diffuse desquamation 5 days later.
Related Images: All related Images  staphylococcal_scalded_skin_syndrome_1_090120  staphylococcal_scalded_skin_syndrome_2_090120  staphylococcal_scalded_skin_syndrome_4_090120  staphylococcal_scalded_skin_syndrome_5_090120 

DermAtlas: FACE - staphylococcal scalded skin syndrome
© 2001-2009, DermAtlas
Image Name: staphylococcal_scalded_skin_syndrome_2_090120   File Type: jpg
Diagnosis: STAPHYLOCOCCAL SCALDED SKIN SYNDROME /
STAPHYLOCOCCAL INFECTION
  Category: infections and infestations /
reactive erythema /
vesiculobullous eruptions
Body Site: face / total body   Age: 6 months
Contributor: Bernard Cohen, MD    
Description: generalized erythema, scaling, and periorificial crusting
Comments: This healthy 6-month-old girl developed a low grade fever, incresed fussiness, and generalized erythema with scaling, crusting, and fissuring accentuated around the mouth and skin creases. An erosion appeared after her mother placed her on the examining table typical of a Nikolsky sign. Methicillin sensitive Staphylococcus aureus grew from a skin culture taken from her nares. She did well on oral antibiotics, acetominophen, and topical emollients with drying of the crusts and clearing of the erythema in 2 days and diffuse desquamation 5 days later.
Related Images: All related Images  staphylococcal_scalded_skin_syndrome_1_090120  staphylococcal_scalded_skin_syndrome_3_090120  staphylococcal_scalded_skin_syndrome_4_090120  staphylococcal_scalded_skin_syndrome_5_090120 

DermAtlas: FACE - staphylococcal scalded skin syndrome
© 2001-2009, DermAtlas
Image Name: staphylococcal_scalded_skin_syndrome_1_090120   File Type: jpg
Diagnosis: STAPHYLOCOCCAL SCALDED SKIN SYNDROME /
STAPHYLOCOCCAL INFECTION
  Category: infections and infestations /
reactive erythema /
vesiculobullous eruptions
Body Site: face / total body   Age: 6 months
Contributor: Bernard Cohen, MD    
Description: generalized erythema, scaling, and periorificial crusting
Comments: This healthy 6-month-old girl developed a low grade fever, incresed fussiness, and generalized erythema with scaling, crusting, and fissuring accentuated around the mouth and skin creases. An erosion appeared after her mother placed her on the examining table typical of a Nikolsky sign. Methicillin sensitive Staphylococcus aureus grew from a skin culture taken from her nares. She did well on oral antibiotics, acetominophen, and topical emollients with drying of the crusts and clearing of the erythema in 2 days and diffuse desquamation 5 days later.
Related Images: All related Images  staphylococcal_scalded_skin_syndrome_2_090120  staphylococcal_scalded_skin_syndrome_3_090120  staphylococcal_scalded_skin_syndrome_4_090120  staphylococcal_scalded_skin_syndrome_5_090120 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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