Virulent strains of Staphylococcus aureus secrete exfoliative toxins (ETs) that cause the loss of cell-cell adhesion in the superficial epidermis. S. aureus ETs are serine proteases, which exhibit exquisite substrate specificity, and their mechanisms of action are extremely complex. To date, four different serotypes of ETs have been identified and three of them (ETA, ETB and ETD) are associated with toxin-mediated staphylococcal syndromes related to human infections leading to diseases of medical and veterinary importance.