these surface irregularities from the protective layer of the skin.
She did not require intubation, but her skin began to desquamate
Because the keratinizing squamous epithelium continues to desquamate
and expand, thereby causing erosion of the surrounding structures, the cholesteatoma sac must be removed completely.
(%) (case-fatality %) Sepsis 52 (24) 0 Meningitis 102 (48) 1 (1) STSS 61 (28) 38 (62) Total 215 (100) 39 (18) * Streptococcal toxic shock syndrome (STSS) is defined according to the 1996 criteria established by the Centers for Disease Control and Prevention, Atlanta, GA, USA, which include hypotension (systolic blood pressure [less than or equal to] 90 mm Hg for adults) and multiorgan involvement characterized by [greater than or equal to] 2 of the following: renal impairment, coagulopathy, liver involvement, acute respiratory distress syndrome, generalized erythematous macular rash that may desquamate
, soft-tissue necrosis, including necrotizing fasciitis or myositis, or gangrene.
In toxic epidermal necrolysis, the patient develops bullae that enlarge, become confluent, and desquamate
. The skin appearance in toxic epidermal necrolysis is similar to staphylococcal scalded skin syndrome. Toxic epidermal necrolysis resembles a widespread scalding burn, but with less vascular injury.
Left untreated, the keratin sheets will continue to desquamate
into the lumen of the external auditory canal and the mass will continue to enlarge.