Glossary

Term · Baby Basics

staphylococcal scalded skin syndrome

Also: SSSS, scalded skin syndrome

A rare skin infection caused by a staph toxin, causing widespread redness, tenderness, and peeling skin. It mostly affects young children and is treated as an emergency.

In plain words

Staphylococcal scalded skin syndrome is a rare skin condition caused by toxins from certain strains of . The toxins split the top layer of the skin, so the skin looks scalded. It starts with redness and tenderness, often around the mouth, eyes, or diaper area, and then spreads. The top layer can peel off in sheets, similar to a burn. Babies with this condition often have a fever and seem unwell. It is rare, and it is far more serious than a diaper rash or a simple skin infection. It is treated in a hospital. A rash that spreads, feels tender, or comes with fever in a baby is a reason to call the baby's provider right away.

The deeper version

Staphylococcal scalded skin syndrome is an exfoliative dermatitis caused by epidermolytic toxins, exfoliative toxins A and B, produced by Staphylococcus aureus. These toxins cleave desmoglein-1 in the stratum granulosum, producing intraepidermal separation with a Nikolsky-positive, scald-like appearance. It occurs mainly in infants and young children, usually from a localized staphylococcal focus, and is associated with fever and systemic illness. Differentiation from toxic epidermal necrolysis, which involves mucosa and deeper layers, relies on clinical pattern and histology. Management is hospital-based with antistaphylococcal therapy and supportive care. In a , must also be considered. The American Academy of Pediatrics Red Book covers the condition in its staphylococcal infection chapter.

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Sources

  • American Academy of Pediatrics — Red Book: 2024-2027 Report of the Committee on Infectious Diseases, staphylococcal infections chapter

The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.