SSSS — RACP Paediatrics MCQ

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ModerateDermatologySSSSRACP Paediatrics

A 3-year-old has rapidly spreading blistering. Skin appears scalded with flaccid bullae. Nikolsky positive. No mucosal involvement. Diagnosis?

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Correct answer: C — Staphylococcal scalded skin syndrome

SSSS: exfoliative toxins from S. aureus. Superficial desquamation, positive Nikolsky, NO mucosal involvement (unlike SJS/TEN).

Reference: Therapeutic Guidelines – 2024 – Antibiotic: Skin Infections