Scarlet fever history and symptoms: Difference between revisions
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[[Image:Scarlet fever 1.jpg|thumb|left|140px|The "slapped cheeks" and "white mustache" of scarlet fever.]] | [[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:Scarlet fever 2.jpg|thumb|left|140px|The scarlet fever rash.]] | ||
[[Image:Scharlach.JPG|thumb|left|Tongue with a strawberry appearance.]] | [[Image:Scharlach.JPG|thumb|left|Tongue with a strawberry appearance.]] | ||
==References== | ==References== | ||
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[[Category:Bacterial diseases]] | [[Category:Bacterial diseases]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 15:57, 30 November 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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]
