The rash seen in KS begins shortly after the fever;
likewise, the rash of scarlet fever typically presents
24-48 hours after the onset of streptococcal pharyngitis.5
Table 1 provides a concise comparison of the
muco-cutaneous findings in these 2 disease processes.
The classic exanthema of scarlet fever is described as
sandpaper-like and characterized by fine, erythematous
papules that often begin on the face and neck.5
Patients often have circumoral pallor.4 Within 1-2
days, the rash generalizes to the trunk and extremities,
usually sparing the palms and soles.5 Pastia lines
are a common finding and refer to the accentuation
of the rash in flexural creases, such as the groin and
axillae.4,
The rash seen in KS begins shortly after the fever;likewise, the rash of scarlet fever typically presents24-48 hours after the onset of streptococcal pharyngitis.5Table 1 provides a concise comparison of themuco-cutaneous findings in these 2 disease processes.The classic exanthema of scarlet fever is described assandpaper-like and characterized by fine, erythematouspapules that often begin on the face and neck.5Patients often have circumoral pallor.4 Within 1-2days, the rash generalizes to the trunk and extremities,usually sparing the palms and soles.5 Pastia linesare a common finding and refer to the accentuationof the rash in flexural creases, such as the groin andaxillae.4,
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