Derm - Staphylococcal Scaled Skin Syndrome

Question 1

What is staphylococcal scalded skin syndrome?

Answer 1

Condition caused by staphylococcus aureus

Produces epidermolytic toxins

These toxins break down proteins between skin cells

Question 2

Who is typically affected by staphylococcal scalded skin syndrome?

Answer 2

Children under 5 years

Older children usually have developed immunity to epidermolytic toxins

Question 3

How does staphylococcal scalded skin syndrome present?

Answer 3

Generalised patches of erythema on the skin

The skin then looks thin and wrinkled

Followed by formation of bullae which burst and leave very sore erythematous skin below

Similar to a burn

Question 4

What is Nikolsky sign?

Answer 4

Where gentle rubbing of skin causes it to peel

Question 5

What are the systemic symptoms of staphylococcal scalded skin syndrome?

Answer 5

Fever
Irritability
Lethargy
Dehydration

If untreated can lead to sepsis and potentially death

Question 6

How is staphylococcal scalded skin syndrome managed?

Answer 6

Admission and treatment with IV antibiotics

Fluid and electrolyte balance key to management

Patients are prone to dehydration

If adequately treated children usually recover without scarring