History: Staphylococcal scalded skin syndrome(SSSS) is a toxin-mediated type of exfoliative dermatitis caused by toxigenic strains of Staphylococcus aureus.  Infants and young children are most commonly affected.  SSSS originates from a focus of infection that may be a purulent conjunctivitis, otitis media, or occult nasopharyngeal infection. It usually begins with fever, irritability, and a  generalized erythema with cutaneous tenderness.  Periorificial and flexural accentuation may be observed as in this case.  A blistering eruption follows within 24 to 48 hours.