Scarlet fever

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Normal lungs and alveoli

Signs of scarlet fever

Scarlatina

• Sore throat
• Fever
• Vomiting
• Rash on neck and chest
  • Rough "sandpaper" feel to the skin
• Peeling (desquamation) of the finger tips, toes, and groin
• Swollen, red tongue (strawberry tongue)
• Pastia's lines (bright red color in the creases of the underarm and groin)
• Chills
• Headache
• Generalized discomfort (malaise)
• Abdominal pain
• Muscle aches

• Physical examination
• Throat culture positive for Group A Strep
• Rapid antigen detection (throat swab)

Review Date: 10/27/2005
Reviewed By: Daniel Rauch, MD, FAAP, Director, Pediatric Hospitalist Program, Associate Professor of Pediatrics, NYU School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.