E) Rash involving the palms and soles
Scarlet fever, a delayed-type skin reaction rash to Streptococcus pyogenes exotoxin may complicate strep throat. The classic rash is blanching, erythematous, sandpapery, spreads as described, but does not involve the palms and soles. It desquamates in the second week of having the rash. Accentuation in the antecubital fossae and axillary folds is called Pastia’s lines. Patients should be treated with antibiotics similar to treatment for strep throat.
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November 30, 2023 at 9:15 pm
E) Rash involving the palms and soles
Scarlet fever, a delayed-type skin reaction rash to Streptococcus pyogenes exotoxin may complicate strep throat. The classic rash is blanching, erythematous, sandpapery, spreads as described, but does not involve the palms and soles. It desquamates in the second week of having the rash. Accentuation in the antecubital fossae and axillary folds is called Pastia’s lines. Patients should be treated with antibiotics similar to treatment for strep throat.