Scarlet Fever

Figure 4.10 A: Perianal strep (Reprint from Al-Jasser M, Al-Khenaizan S. Cutaneous mimickers of child abuse. Eur J Ped. 2008; 167 (11) : 1221–30) B: Ecthyma (Courtesy of Dr. Paul Getz) C: Strawberry tongue (Reprint from Allen HB. Dermatology Terminology. New York, NY: Springer; 2010)
Figure 4.10
A: Perianal strep
(Reprint from Al-Jasser M,
Al-Khenaizan S. Cutaneous
mimickers of child abuse.
Eur J Ped. 2008;
167 (11) : 1221–30
)
B: Ecthyma
(Courtesy of Dr. Paul Getz)
C: Strawberry tongue
(Reprint from Allen HB.
Dermatology Terminology.
New York, NY: Springer; 2010
)
(Figure 4.10C)
  • Diffuse exanthem from GAS pharyngitis with erythrogenic toxin (SPE-A, B, C); mainly in children
  • Presents with sore throat, headache, fever → tiny pink papules on erythematous background (sandpaper-like), linear petechiael streaks along body folds (Pastia’s lines), circumoral pallor, palatal petechiae, “strawberry tongue”
  • Treatment: PCN or erythromycin × 10–14 days