Positive findings of a scarlatiniform
rash or palatine petichiae are specific for the diagnosis of GABHS, but uncommon signs.
A diagnosis of anticonvulsant hypersensitivity disorder should be presumed if the rash is morbilliform or scarlatiniform
and is accompanied by facial edema, fever, and/or lymphadenopathy.
GAS presents as a sore throat, fever, anterior cervical lymphadenitis, and a scarlatiniform
The eruption may start as a morbilliform, scarlatiniform
or multiforme lesion.
We can ask a student to read, discuss, and reflect on a single case of scarlet fever until the cows come home, but that student is going to be a much more effective clinician once he or she has had the opportunity to see so many scarlatiniform
rashes that the sight diagnosis becomes second nature.
Other findings may also be present, including a scarlatiniform
rash and palatal petechiae.
Macular rashes could be seen in 24% of patients, 7% had urticarial eruptions, 5% of rashes were erythema multiformelike, and 12% had a scarlatiniform
The condition occurs in 1- to 5-year-olds and is characterized by a variety of lesions, including morbilliform, scarlatiniform
, lacy, eczematous, and urticarial types.
Petechiae can also occur with mono, although maculopapular or scarlatiniform
rashes are more common.
when I found a scarlatiniform
rash in a child's groin?
Clinical clues to streptococcal pharyngitis include acute onset, fever, scarlatiniform
rash, nausea or vomiting, cervical adenopathy, and tonsillar exudate.
Cervical adenitis and scarlatiniform
rash are less common, he noted.