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Staphylococcal Scalded Skin Syndrome, Pediatric

Lauren G. Solan, MD, MEd and Craig H. Gosdin, MD, MSHA Reviewed 10/2018
 


BASICS

DESCRIPTION

  • A spectrum of generalized exfoliative skin disease with blistering of the upper layer of skin caused by an epidermolytic toxin produced by certain strains of Staphylococcus aureus

  • In ...

DIAGNOSIS

ALERT

Diagnosis is primarily clinical; cultures and other diagnostic tests are largely confirmatory; late recognition can lead to delayed therapy and shock.

  • Differentiation from toxic epiderma...

TREATMENT

GENERAL MEASURES

  • Hospitalization is necessary for IV antibiotic therapy and supportive care.

  • Recommend dermatology consultation.

  • Consider consultation with infectious disease.

  • Apply principles o...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Close follow-up with primary care provider recommended to ensure patient is recovering as expected

  • As dermatology is typically involved in these cases, follow up w...

ADDITIONAL READING

  • Braunstein I, Wanat KA, Abuabara K, et al. Antibiotic sensitivity and resistance patterns in pediatric staphylococcal scalded skin syndrome. Pediatr Dermatol.  2014;31(3):305–3...

CODES

ICD9

695.81 Ritter’s disease 

ICD10

L00 Staphylococcal scalded skin syndrome 

SNOMED

  • 200946001 Staphylococcal scalded skin syndrome (disorder)

  • 402967005 Neonatal staphylococcal scalded skin syndrome (...

FAQ

  • Q: Can SSSS recur?

  • A: Yes, although it is uncommon.

  • Q: Is SSSS contagious?

  • A: Yes. The staphylococci are spread primarily from person to person (familial clusters have been reported), even from mothe...

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