Excerpt from Pediatrics, 1909, Vol. 21
Scarlet fever is a disease so treacherous, insidious and vari able that every point in diagnosis should be fully considered. The patient should be isolated immediately until a negative diagnosis is made, bearing in mind that an apparently mild case in the be ginning may be followed by the most severe complications and is fully capable Of being the focus for the spreading Of the most malignant cases.
It is not advisable to enter into the differential diagnosis as between the other infectious exanthemata Or diphtheria, although a diagnosis at the first visit is Often difficult or impossible in bor der line cases. In considering the rash we must bear in mind other skin conditions which may simulate a scarlet fever rash, such as those caused by irritation Of the skin from hot or 0i applications - drug rashes caused by quinia, iodine, belladonna, etc., heat rashes and a hyperaemic condition Of the skin due to crying, also the rash following the injection Of antitoxin.
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