Scarlatina
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The circumoral pallor that is characteristic for scarlatina, is in practice difficult to differentiate from 'slapped cheeks' as we can often see in Erythema Infectiosum

The pathognomonic 'Strawberry Tongue' that diagnoses Scarlatina

The fine 'sand paper like' rash, often better felt than seen, is typical for Scarlatina

Typical desquamation