Staphylococcal scalded skin syndrome and impetigo Quiz: Ace Your Exams

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An 11-year-old boy presents to the immediate care clinic with his parent for evaluation of a rash. The rash has been present for the past week, and the patient has been intermittently “picking at it.” There are similar lesions on the patient's left arm. The patient reports that the rash is itchy. He has no significant past medical history and vaccinations are up-to-date. Temperature is 37°C (98.6°F), blood pressure is 108/70 mm Hg, pulse is 99/min, respiratory rate is 18/min, and oxygen saturation is 98% on room air. The patient is well-appearing and in no acute distress. Skin examination demonstrates a facial rash, depicted in the image below, as well as vesicles on an erythematous base over the left forearm. Nikolsky sign is negative. There is no mucous membrane involvement. Cardiopulmonary and abdominal examinations are within normal limits. Which of the following is the most likely diagnosis? 


Reproduced from: wikipedia  

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