Scarlet fever
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- Caused by pyrogenic exotoxins (erythrogenic toxins) released by Streptococcus pyogenes that can be associated with potentially any streptococcal infection
- Appears on day 2 of illness, from trunk spreading to extremities
- Pastia’s lines are deep red skin folds
- Flushed face with circumoral pallor
- White strawberry tongue early in disease gives way to beefy red strawberry tongue later
