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Image Number 2053 (Scarlet fever)

 
Morphology:
Crusts

Diagnosis: Scarlet fever

Site: Tongue

Sex: M

Age: 3

Type:

Description: White coated tongue.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History:

Within 24-48 hours from the onset of scarlet fever the tongue has a white coating through which reddened, hypertrophied papillae project, giving the so-called white strawberry tongue appearance. By the fourth or fifth day the coating disappears, the tongue is bright red, and the red strawberry tongue remains. The presented case of a toddler with a classical white strawberry tongue appearance. 



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