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Updated: Jun 15, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
[Staphylococcal scalded skin syndrome in adults]
Carsten Sauer Mikkelsen1, Dorthe Bisgaard Mikkelsen, Thøger Gorm Jensen
1Odense Universitetshospital, Dermatovenereologisk Afdeling, Denmark. c.s.mikkelsen@hotmail.com
Abstract:
We describe a case of adult staphylococcal scalded skin syndrome (SSSS) in a 91-year-old woman. The patient had a Staphylococcus aureus infection in her right ear with redness and yellow secretion. A few days later she developed Nikolsky sign-positive tender enlarged flaccid bullae involving most parts of her body. The bullae ruptured easily and left a erythematous base. The histopathological changes were characteristic for adult SSSS. The patient was well-treated with intravenous dicloxacillin, topical antibiotic and antiseptic treatment. The patient had marked thrombocytosis, but no interest in further examination.
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