Scarlet without rash
Scarlet fever can also occur without the typical clinical picture with rash and raspberry tongue. This is regularly the case, especially in adults. the corresponding bacteriophage, which is responsible for toxin formation.
There are other symptoms (sore throat when the throat is colonised, etc.) but not vasomotor or inflammatory hyperemia, which is based on the toxin production and causes reddening of the skin. If scarlet fever is present without a rash or in a very mild form, the diagnosis can only be made by detecting the pathogen. If the typical clinical picture does not appear, it is therefore important to distinguish it from other diseases, but not to ignore it.