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Scarlatiniform Eruptions

  1. Scarlet fever, Kawasaki’s syndrome, and toxic shock syndrome also present with erythematous macular and papular eruptions.
  2. Group A streptococcal pharyngitis or tonsillitis with a strain producing erythrogenic toxin initiates a confluent, papular eruption with sandpaper texture that begins on the neck and upper chest and evolves over the abdomen and extremities.
  3. The face is flushed, and circumoral pallor is prominent. Extensive desquamation occurs in 4 to 5 days. Punctate redness of the palate and strawberry tongue coexist.

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