We report 3 cases of severe burns in children in which eccrine squamou
s syringometaplasia (ESS) was found in skin biopsies taken 10 days aft
er the trauma occurred. Microscopic examination showed partial or tota
l necrosis of the epidermis, focal dermal necrosis and squamous metapl
asia in eccrine ducts. These cases appear to be the first reported ins
tances of ESS as an early consequence of severe burns.