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 responsible for toxin formation.
There are other symptoms (sore throat when the throat is colonized, etc.) but not vasomotor or inflammatory hyperemia, which is based on the toxin production and causes reddening of the skin. If the typical clinical picture does not appear, it is important to distinguish it from other diseases, but not to ignore it.
