on the rash usually fades, but the affected skin may begin to peel. As the rash fades, peeling (desquamation) may occur around the finger tips, toes, and groin area. This peeling may last up to ten days. Risk factors are strep throat infection, although less than 50% of the patient's who develop scarlet fever have a history of a sore throat. Not all streptococci produce this toxin and not all persons are
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