The staphylococcal scalded skin syndrome usually occurs in children less than 5 years old, whereas drug-induced toxic epidermal necrolysis is considered a disease of adults.1 Except for the age differential, the two often cannot be distinguished clinically. Therefore, rapid and definitive biopsy diagnosis is essential in the management of patients with acute exfoliative skin disorders. We wish to report the case of a young child with proven toxic epidermal necrolysis and review the manifestations of this disease, as well as the staphylococcal scalded skin syndrome.


A 4-year-old white girl was admitted to Strong Memorial Hospital because of a generalized bullous eruption.

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