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Scarlet fever

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Teaching point — how the wording changes the answer

High fever, sore red throat and a rough 'sandpaper' rash spreading from the trunk with facial flushing and strawberry tongue characterise scarlet fever.

Q85 Child with fever, rough rash on face/chest/back, bilateral conjunctivitis and a red throat; diagnosis?
Key clue Sandpaper rash + strawberry tongue + red throat
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Scarlet fever