Free
E-newsletter
Subscribe to Housecall
Our weekly general interest
e-newsletter keeps you up to date
on a wide variety of health topics.
close window
Mayo Clinic Housecall
Stay up to date on the latest health information.
What you get
- Free weekly e-newsletter
- Mayo Clinic expertise
- Recipes, tools and other helpful information
- We do not share your e-mail address
Symptoms
By Mayo Clinic staff
The signs and symptoms that give scarlet fever its name include:
- Red rash. The rash looks like a sunburn and feels like sandpaper. It typically begins on the face or neck and spreads to the trunk, arms and legs. If pressure is applied to the reddened skin, it will turn pale.
- Red lines. The folds of skin around the groin, armpits, elbows, knees and neck usually become a deeper red than the surrounding rash.
- Flushed face. The face may appear flushed with a pale ring around the mouth.
- Strawberry tongue. The tongue generally looks red and bumpy, and it's often covered with a white coating early in the disease.
The rash and the redness in the face and tongue usually last about a week. After these signs and symptoms have subsided, the skin affected by the rash often peels. Other signs and symptoms associated with scarlet fever include:
- Fever of 101 F (38.3 C) or higher, often with chills
- Very sore and red throat, sometimes with white or yellowish patches
- Difficulty swallowing
- Enlarged glands in the neck (lymph nodes) that are tender to the touch
- Nausea or vomiting
- Headache
When to see a doctor
Talk to your doctor if your child has a sore throat with:
- A fever of 102 F (38.9 C) or higher
- Swollen or tender glands in the neck
- A red rash
References
- Scarlet fever. Centers for Disease Control and Prevention. http://www.cdc.gov/ncidod/dbmd/diseaseinfo/scarletfever_g.htm. Accessed Jan. 5, 2011.
- Ferri FF. Scarlet fever. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-05610-6..C2009-0-38600-6--TOP&isbn=978-0-323-05610-6&about=true&uniqId=230100505-53. Accessed Jan. 5, 2011.
- Habif RP. Exanthems. In: Habif TP. Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 5th ed. Edinburgh, U.K.; New York, N.Y.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-7234-3541-9..X0001-6--TOP&isbn=978-0-7234-3541-9&uniqId=230100505-57. Accessed Jan. 5, 2011.
- Pichichero ME. Complications of streptococcal tonsillopharyngitis. http://www.uptodate.com/home/index.html. Accessed Jan. 5, 2011.
- Greer MA. Group A Streptococcus. In: Kliegman RM. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed Jan. 5, 2011.
- Fort GG, et al. Rheumatic fever. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-05610-6..C2009-0-38600-6--TOP&isbn=978-0-323-05610-6&about=true&uniqId=230100505-53. Accessed Jan. 5, 2011.
Find Mayo Clinic on