Baby of 11 days old presented with this lesion. Diagnose it

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SSSS Tissue paper-like wrinkling of the skin is followed by the appearance of large fluid-filled blisters (bullae) in the armpits, groin and body orifices such as the nose and ears.Rash spreads to other parts of the body including the arms, legs and trunk. In newborns, lesions are often found in the diaper area or around the umbilical cord. Nikolsky sign must be positive. Rx Antistaphylococcal antibiotic eg flucloxacillin, vancomycin Paracetamol for pain and fever. Topical Muprocin. Fluid and electrolytes correction. Other supporting treatment.

EPIDERMOLYSIS BULLOSA@Dr. Avitus John Raakesh Prasad @Dr. P.kishore Kumar @Dr. M V Subramanyam @Dr. Aniruddha Lele @Dr. L.m. Patel

Agree sir
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Staphylococcal scalded skin syndrome, (SSSS), also known as Pemphigus neonatorum or Ritter's disease, or Localized bullous impetigo is a dermatological condition caused by Staphylococcus aureus.

It is easier to prescribe to babies or children Bcoz they have limited types of exposure to traumatic stimuli. Bathing is one such unavoidable activity babies are subjected to. Hence Belladonna becomes a children's remedy. But dulcamara also has exactly similar symptoms. They are inimical to one another. I'm sharing why they are so. Bell causative is a sudden change from cold to hot And dulcamara causative is quite the opposite, sudden change from hot to cold. The differentiation is tricky. Both have sleepiness in daytime with nocturnal sleeplessness. Both are chilly remedies. In this case carefully evaluate the trigger and give either belladonna or dulcamara. Dulcamara has aggravation from cold and at night. Belladonna has cold during aggravation and lying. Now Differentiate !

Ssss...admission... Hydration n nutrition ....vancomycin iv Blood reports Local mupirocin cream...also apply cream to mother nostril to remove carrier state

Looks like epidermolysis bullosa

SSSS/ TOXIC EPIDERMO-NECROLYSIS

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