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 4.10C) - 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
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