Scarlatina ========== þ Scarlatina Etiology and Epidemiology - found with some people (mostly kids) with strep infections þ Scarlatina Rash - classic is sandpapery slightly maculopapular rash over extremities and torso, often with strawberry tongue (white and red versions; white comes first, red comes later with desquamation a few days later) - Pastia's lines (also known as Pastia's sign): hemorrhagic lines in body creases (confluent petechiae due to capillary fragility + bending of the skin in skin lines) - circumoral pallor þ Staph Scarlatina - severe scarlatina also sometimes caused by a staph infection when the staph is infected with a specific phage virus - usually also with conjunctivitis and oral fissuring and crusting