Scalded-Skin Syndrome in Adults

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Abstract
To the Editor: Levine and Norden1 recently described an adult with toxic epidermal necrolysis purportedly due to Group 2, phage type 71 infection. The staphylococcal scalded-skin syndrome is the most common cause of this form of necrolysis in children,2 but adult cases caused by staphylococcal infection had not previously been well documented.3 , 4 The data provided by Levine and Norden do not adequately support their conclusion.In the first place, their patient was receiving several drugs at the time of diagnosis, including prednisone, azathioprine, guanethidine, isoniazid, and ethambutol — agents that could have precipitated toxic epidermal necrolysis.3 , 5 Secondly, the disorder occurs . . .