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September 1987

Picture of the Month

Author Affiliations

Contributor; Section Editor
Contributed from the Halifax Medical Center, Daytona Beach, Fla.

Am J Dis Child. 1987;141(9):1007-1008. doi:10.1001/archpedi.1987.04460090084033

Figure 1.

Figure 2.

Figure 3.

The statements listed below are best associated with which of the above figures:

(a) Antibiotic therapy is indicated.

(b) The most serious manifestations are myocardial infarction and aneurysms, usually of the coronary arteries.

(c) A bullous lesion is usually present prior to the appearance of this lesion.

Denouement and Discussion  Fig 1.—Mild conjunctivitis, fissured lips, and erythema and desquamation of the hands in patient with Kawasaki disease.Fig 2.—Rash of staphylococcal scalded skin syndrome showing facial edema, perioral crusting, desquamation, and mournfulappearing face.Fig 3.—Verrucous lesion of incontinentia pigmenti.(a) Antibiotic therapy is indicated in the staphylococcal scalded skin syndrome, which occurs mainly in neonates and infants. A minor infection of the skin, conjunctiva, ala nasi, nasopharynx, and stool is overshadowed by a generalized response to the toxin. This starts with erythema of the skin creases and rapidly spreads over the entire body. Facial

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