Among the diseases of children which we are called on to treat there is none other which may present itself in such peculiar and unusual ways as scarlet fever. This, together with the fact that we have no positive means of proving our case, either clinically or bacteriologically, renders scarlet fever a disease difficult and in some instances impossible of diagnosis.
Thus we see cases of evident scarlet fever showing the typical rash, throat, glands and temperature reaction, and yet the child never desquamates. Is desquamation necessary? A boy 4 years old became ill with what I diagnosed and considered a typical moderately severe scarlet fever. We kept up quarantine for seven weeks, watching for the desquamation which never came in spite of a very intense rash, and which did not appear later.
During a visitation of scarlet fever to a family, four children were attacked. Dr. S. Finley Bell
KERLEY CG. ATYPICAL SCARLET FEVER. JAMA Pediatr. 1911;I(1):70-72. doi:10.1001/archpedi.1911.04100010073007