Sajous's analytical cyclopædia of practical medicine . he spleen is not usuallyenlarged. Not one of the individual symp-toms can be depended upon to estab-lish the diagnosis. Next to thethroat, the condition of the tongueis the most reliable symptom, someenlargement of the papillae of the tipand border being usually observable,although this symptom is much morefrequently missing than is the anginaand may occur in other (Arch, of Pediatrics, Apr.,1912). As the disease progresses, thetongue, which is at first coated, oftenassumes the so-called strawberry ap-pearance. Considerab
Sajous's analytical cyclopædia of practical medicine . he spleen is not usuallyenlarged. Not one of the individual symp-toms can be depended upon to estab-lish the diagnosis. Next to thethroat, the condition of the tongueis the most reliable symptom, someenlargement of the papillae of the tipand border being usually observable,although this symptom is much morefrequently missing than is the anginaand may occur in other (Arch, of Pediatrics, Apr.,1912). As the disease progresses, thetongue, which is at first coated, oftenassumes the so-called strawberry ap-pearance. Considerable confusion exists asto what the strawberry tongue reallyis. It is not a white tongue with redpapilL-e; such a tongue is seen in vari-ous conditions. The true strawberrytongue was originally described byFlint as follows: The tongue in thefirst days is usually coated. In theprogress of the disease the tongueusually exfoliates, leaving the surfaceclean and reddened and the papillaeenlarged. The appearance is strik-ingly like that of a ripe Differential Diagnosis of Eruptions in Childrens Diseases. 1. Scarlet fever. 5. Strawberry tongue of scarlet fever. 2. Scarlet fever; desquamation. 6. Variola. 3. Rubeola. 7. Variola ; confluence. 4. Rubella. 8. Varicella. 9. Variola-like varicella. SCARLET FEVER (CRANDALL AND MILLS). 17 The strawberry-like tongue is apathognomonic symptom; it is pecul-iar to this disease. It is often, butnot uniformly, present. The termshould be applied to the red, cleantongue with prominent papillae whichfollows a coated tongue. The eruption usually appears with-in twenty-four hours after the initialvomiting. It is not infrequently seenafter twelve hours, and is sometimesdelayed for thirty-six hours and inrare cases to the fourth or fifth is frequently intense itchingor burning of the skin. The rash isusually well developed during thesecond day of its appearance. Itthen continues from four to six days,when it gradually subsides. It us
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