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Sept 18, 1967

The Not-So-Scalded Babies

Author Affiliations

Bethesda, Md
US Army, Germany
Los Angeles

JAMA. 1967;201(12):980. doi:10.1001/jama.1967.03130120088032

To the Editor:—  We were very pleased to read the editorial (200: 547, 1967) on the scalded skin syndrome as reported by Lowney et al (Arch Derm95:359,1967).This syndrome has recently been brought into the limelight in excellent reviews.1-3 In the past three years at the Childrens Hospital of Los Angeles there have been 13 cases of toxic epidermal necrolysis diagnosed in infants and toddlers. A retrospective review of our records since 1960 revealed four additional cases. In the earlier years, possibly the diagnosis was erythema multiforme, Stevens-Johnson syndrome, or dermatologic diseases with massive desquamation. It is possible, as suggested in recent reviews, that we have recently experienced a sudden increased incidence of this systemic disease.None of the patients presented in the Table died or had prolonged hospitalization. Four were exposed to red dyes contained in newly purchased, unwashed clothing within 48 hours preceding the onset