Positive Nikolsky Sign due to Staphylococcal Scaled Skin Syndrome

A 16-month-old previously healthy girl was admitted for acute onset of a tender, diffuse, erythematous, and exfoliating rash that was began on the neck and axilla and then spread to the face, trunk, genitalia, and extremities. The patient had increasing pain when she was touched or held, and her skin began to peel hours before admission.