Characteristic signs of scarlet fever in children

Update: October 2018

Scarlet fever is a highly contagious acute infectious disease,
children usually get sick, mostly at the age of 2-10 years.
Infections are also recorded in the adult population.
scarlet fever, but much less. Believed that the younger
the child, the more mild it is this infectious
disease. This contagious disease is not caused by a virus, but by
bacterium, streptococcus type A.

First symptoms

The whole period of the disease conditionally medicine divides into several

  • Скрытый этап — инкубационный период  2-7 дней
  • Initial stage – one day
  • Active stage – 4-5 days
  • Stage of recovery – from 7 to 21 days

Withзнаки скарлатины у детей

Bright red tongue is one of the signs of scarlet fever in children

Each period, except for the incubation period, has its own symptoms.
Обычно скарлатина начинается остро, чаще  всего в первые часы
diseases sharply body temperature rises to high numbers 39-40
degrees During the period of fever, eosinophilia is detected in the blood and
neutrophilic leukocytosis. Symptoms in the early hours of onset

  • Heat
  • Headache
  • Sore throat when swallowing (sore throat)
  • General weakness
  • Stomach ache
  • Lack of appetite
  • Tachycardia
  • Patients show signs of euphoria, it is excited, or vice versa
    sluggish, drowsy, apathetic.
  • With severe disease may vomiting, nausea.

Recently, the course of this disease is manifested in more
soft form, without fever. In these cases, children can
there is only a rash with scarlet fever, a small temperature, and
other characteristic signs of scarlet fever are either absent or


Withзнаки скарлатины у детей

Red small rash is typical for scarlet fever


A day later, a maximum of 2 days after the appearance of the first
signs of malaise, a red small rash appears on the skin – this is
important diagnostic sign of scarlet fever in children. At first
petechial elements appear on the reddened skin of the neck, face,
then spread to the inner thighs,
flexor surface of the limbs, side of the abdomen and chest.

At the same time, another important symptom of scarlet fever is clearly pronounced.
children – white dermographism and thickening of the rash in the form of dark stripes in
areas of natural folds, armpits. Nasolabial
the triangle in children remains white, and the cheeks become bright red

There is a test for the diagnosis of scarlet fever – a symptom of the palm. With
pressing the palm in the area of ​​the rash – with scarlet fever rash
temporarily disappear. If this does not happen, you should exclude
other diseases such as rubella, measles (see symptoms of measles in
children), pseudotuberculosis, drug dermatitis. Rash держится
within about a week, gradually disappears, while not
leaving marks and pigmentation.


Scarlet fever is always accompanied by tonsillitis, a sore throat
severity. Such an inflammatory process is actively responding.
and lymph nodes, they thicken, become painful.
Children are concerned about:

Read also on the topic:

  • Scarlet fever incubation period
  • Quarantine for scarlet fever
  • Can an adult fall ill with scarlet fever?
  • 11Rules how to take antibiotics
  • How to gargle with sore throat

  • Sore throat when swallowing
  • Redness of the tonsils, soft palate, uvula, back wall
  • Follicular tonsillitis or lacunar tonsillitis develops.
  • Regional lymphadenitis becomes painful and dense
    anterior cervical lymph nodes
  • The tongue is first dry, furry, greyish-white, then to
    4-5 days of the disease becomes bright red or crimson and
    this color is maintained for 7-14 days.


7-14 days after the onset of the disease, one more appears.
A sign of scarlet fever in children is peeling of the skin. Characteristic
the peculiarity is that the peeling occurs on the palms and
the sole, and it begins from the nail phalanges, gradually
spreading across the palm and sole and wears a lamellar
character – coming off in layers. Body scaling is also observed
only it is small, it has a scaly appearance.

With the beginning of the extinction of the rash, all the others disappear.
signs of scarlet fever. In children at 4-5 days the temperature begins
fall, decreases intoxication, which greatly facilitates the overall
condition of the child.

If a child or adult has similar symptoms.
scarlet fever, should immediately contact a pediatrician,
therapist and infectious diseases.

An old Soviet documentary that perfectly demonstrates
symptoms of scarlet fever in children

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