Toxic Epidermal Necrolysis (Scalded Skin Syndrome)

Toxic Epidermal Necrolysis

“…It is characterized by a beefy erythema, initially of the axillae, groins and neck, together with marked skin tenderness and the development of a widespread Nikolsky phenomenon.1,2 The first report of this syndrome was written by Lang and Walker 3 in 1956 as a description of "an unusual bullous eruption." 6 Two patients with this condition occurring within 12 months are presented to support the belief that this syndrome is not rare and may not be as severe in all cases as previously described. The first report in the American literature was by Potter et al in 1960.…”

“…6 Cases, steroids followed by recovery 1 Case, steroids followed by death 2 Cases, no steroids followed by recovery6 1 Case, no steroids followed by death Nikolsky sign9 8 Cases, present 2 Cases, absent6 The outer layers of skin peeled easily, leaving an acutely inflamed raw surface.…”