been initiated one day before admission. The child ’ s temperature was 38.3 ° C on admission. He appeared extremely fortable but not acutely ill. He had numerous id bullae on his face, neck, axilla, perianal region, upper back, and thighs. Nikolsky ’ s sign was present (ready separation of the outer layer of epidermis from the basal layer), and a biopsy of a skin specimen revealed that the level of cleavage was at the granular layer. The boy was treated with intravenous nafcillin, and his condition improved over the next few days. He was discharged after seven days, with plete resolution of his rash. 临床表现入院第 1天前臂可见表皮脓疱和水疱入院第 4天,随着 SSSS 进展,全身及躯干可见皮肤广泛的起疱和糜烂入院第 6日足部表皮起疱和糜烂临床表现 Macular rash with Nikolsky ' s sign Evolution to scaly phase, more pronounced at periorificial areas .
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