Scarlet fever is a syndrome characterized by exudative pharyngitis, fever, and scarlatiniform rash. 

-It is caused by toxin-producing group A β-hemolytic streptococci

-Symptoms and signs include sore throat, fever, rash, strawberry tongue, flushed face, and circumoral pallor 

-Rash: Diffusely erythematous rash resembling a sunburn; superimposed fine red papules give the skin a sandpaper consistency; it blanches on pressure, moves from torso to extremities, prominent on the face, chest, palms, fingers and toes; fades in 2-5 days 

-Forchheimer spots: Petechiae and punctuate red macules on the soft palate and uvula 

-Pastia lines are pink or red lines seen over the elbows and axilla during scarlet fever

-Treatment of scarlet fever is by antibiotics