Strawberry tongue seen in scarlet fever.

Scarlet fever is a disease resulting from a group A streptococcus infection, also known as streptococcus pyogenes. Sign and symptoms include a sore throat, fever, headaches, swollen lymph nodes and characteristic rash. The rush is red and feels like sandpaper and the tongue may be red and bumpy. It most commonly affects children between 5 and 15 year of age.

Rash which has characteristic appearance, spreading patterns and desquamating process e.g. "Strawberry tongue". The tongue initially has a white coating on it, while the papillae of the tongue are swollen and reddened. The protrusion of red papillae through the white coating gives the tongue "white strawberry" appearance. A few days later, whiteness disappears, and the red and enlarged papillae give the tongue "red strawberry" appearance. The symptomatic appearance of the tongue is part of the rash that is characteristic of scarlet fever.
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