Scarlet fever history and symptoms: Difference between revisions
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==Signs and symptoms== | ==Signs and symptoms== | ||
====Early symptoms==== | |||
Early symptoms indicating the onset of scarlet fever can include: | Early symptoms indicating the onset of scarlet fever can include: | ||
<ref name="Balentine">{{cite journal | author=Balentine J and Kessler D | title=Scarlet Fever | journal=[[eMedicine]] | id={{EMedicine2|emerg|518}} | date=March 7, 2006}}</ref> | <ref name="Balentine">{{cite journal | author=Balentine J and Kessler D | title=Scarlet Fever | journal=[[eMedicine]] | id={{EMedicine2|emerg|518}} | date=March 7, 2006}}</ref> | ||
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*Bright red tongue with a "strawberry" appearance | *Bright red tongue with a "strawberry" appearance | ||
====Rash==== | |||
*Characteristic rash, which: | *Characteristic rash, which: | ||
:*is fine, red, and rough-textured; it [[wikt:blanch|blanches]] upon pressure | :*is fine, red, and rough-textured; it [[wikt:blanch|blanches]] upon pressure | ||
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:*Pastia lines (where the rash becomes confluent in the arm pits and groins) appear and persist after the rash is gone | :*Pastia lines (where the rash becomes confluent in the arm pits and groins) appear and persist after the rash is gone | ||
*The rash begins to fade three to four days after onset and [[desquamation]] (peeling) begins. "This phase begins with flakes peeling from the face. Peeling from the palms and around the fingers occurs about a week later and can last up to a month."<ref name="Dyne"/> Peeling also occurs in axilla, groin, and tips of the fingers and toes.<ref name="Balentine"/> | *The rash begins to fade three to four days after onset and [[desquamation]] (peeling) begins. "This phase begins with flakes peeling from the face. Peeling from the palms and around the fingers occurs about a week later and can last up to a month."<ref name="Dyne"/> Peeling also occurs in axilla, groin, and tips of the fingers and toes.<ref name="Balentine"/> | ||
[[Image:Scarlet fever 1.jpg|thumb|left|140px|The "slapped cheeks" and "white mustache" of scarlet fever.]] | |||
[[Image:Scarlet fever 2.jpg|thumb|left|140px|The scarlet fever rash.]] | |||
[[Image:Scharlach.JPG|thumb|left|Tongue with a strawberry appearance.]] {{-}} | |||
==References== | ==References== | ||
Revision as of 21:37, 1 February 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Signs and symptoms
Early symptoms
Early symptoms indicating the onset of scarlet fever can include: [1] [2]
- Fever of 38 to 40 degrees C.(101-104 degrees F.)
- Fatigue
- Sore throat
- Headache
- Nausea or Vomiting
- Abdominal pain
- Flushed face with perioral pallor (circumoral pallor)
- Tachycardia (rapid pulse)
- Lymphadenopathy (enlarged lymph nodes)
- Punctate red macules on the hard and soft palate and uvula (ie, Forchheimer spots).
- Bright red tongue with a "strawberry" appearance
Rash
- Characteristic rash, which:
- is fine, red, and rough-textured; it blanches upon pressure
- appears 12–48 hours after the fever
- generally starts on the chest, axilla (armpits), and behind the ears
- is worse in the skin folds
- Pastia lines (where the rash becomes confluent in the arm pits and groins) appear and persist after the rash is gone
- The rash begins to fade three to four days after onset and desquamation (peeling) begins. "This phase begins with flakes peeling from the face. Peeling from the palms and around the fingers occurs about a week later and can last up to a month."[2] Peeling also occurs in axilla, groin, and tips of the fingers and toes.[1]
