Staphylococcal Scaled Skin Syndrome

Neha Bansal
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Staphylococcal Scaled Skin Syndrome - Symptoms & Signs
The symptoms may range from fever, erythema initially with formation of large superficial localized blisters to generalized exfoliation of the whole body. (1, 2)

The localized form, which is the mildest form of the disease, is known as Bullous Impetigo, measles phemphigoid or bullous varicella. They form large superficial thin formed bullae which rupture and leave denuded skin behind after oozing fluid which varies from thin, serous liquid to purulent pus. (1) They are more common around the extremities in the older children and in the periumbilical area in the neonates. (1)

In the generalized form, the whole skin is involved often leaving the mucous membranes. They present with generalized fever, malaise, feeding difficulties and irritability which is followed by a rash starting on the head and spreading to the whole body in days. This leads to formation of the multiple blisters all over the body which rupture leaving large areas of denuded skin. They also have temperature irregulation and very often have secondary bacterial infection leading to hypotension, tachycardia and respiratory distress. (1)

The ghastly appearance makes the patient and the parents extremely anxious and tense. (2)

Unusual presentations have been reported like recurrent episodes in neonates especially very low birth weight babies. (3)


References
Staphylococcal Scaled Skin Syndrome Staphylococcal Scaled Skin Syndrome 01/10/2013
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