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Medicine General 3734ec25

Pastia's lines are:

A
The erythematous streaks seen in staphylococcal infection
B
Transverse red streaks in skin folds seen in scarlet fever
C
White striae seen in lichen planus
D
The erythematous rash in syphilis
High-Yield Explanation
Streptococcal scarlet fever: Group A (or occasionally groups C and G) streptococci causing pharyngitis, tonsillitis or other infection may lead to scarlet fever, if the infecting strain produces a streptococcal pyrogenic exotoxin. Scarlet fever is most common in school-age children, but can also occur in young adults who have contact with young children. A diffuse erythematous rash occurs, which blanches on pressure, classically with circumoral pallor. The tongue, initially coated, becomes red and swollen ('strawberry tongue'). The disease lasts about 7 days, the rash disappearing in 7-10 days, followed by a fine desquamation. Residual petechial lesions in the antecubital fossa may be seen ('Pastia's sign’).  Treatment involves intravenous benzyl penicillin or an oral penicillin plus symptomatic measures.

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