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Staphylococcal Scalded Skin Syndrome (SSSS) 
(aka Ritter disease)

#Staphylococcal #Scalded #Skin #Syndrome #SSSS #Diagnosis #Pediatrics #Dermatology #Ritter
Skin Syndrome (SSSS ... Skin #Syndrome #SSSS
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Shock Syndrome (STSS ... tissue necrosis STSS ... therapy in suspected STSS ... Shock #Syndrome #STSS
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
Skin Syndrome (SSSS ... Skin #Syndrome #SSSS
Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous
skin syndrome (SSS ... shock syndrome (TSS
Infection-Related Cancers
Viruses:
 • HPV - Cervical, anogenital, head and neck, skin cancer
 • HTLV-1 - Adult
Infection-Related Cancers ... and neck, skin cancer ... MALToma, Gastric cancer ... bovis - Colorectal cancer ... #Associations #Cancers
Staphylococcal Scalded Skin Syndrome (SSSS) 
(aka Ritter disease) 
Nikolsky positive 
Clinical 
• Typically occurs 3 to
Skin Syndrome (SSSS ... Skin #Syndrome #SSSS
Who to test for BRCA 1/2?
Female Breast Cancer:
 • ≤ 45-50 years at diagnosis
 • Triple
Female Breast Cancer ... primary breast cancers ... old • Breast cancer ... • Male Breast cancer ... (>7) prostate cancer
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
-10 years: 1-2 SSPs ... adenomas < 10mm, 3-4 SSPs ... adenomas, 5-10 SSPs ... 10 adenomas SSPs
Five Year Cancer survival rates in the USA

Despite increasing global cancer deaths, cancer death rates across
Five Year Cancer ... increasing global cancer ... deaths, cancer ... diagnosed with cancer ... rates from all cancers
Serrated Polyps
Hyperplastic polyps (HPs):
 • Prevalence: 20-30%
 • Size: Usually small or diminutive (s 5mm)
 •
serrated lesions (SSLs ... Usually larger than SSLs