TY - CHAP M1 - Book, Section TI - Strawberry Tongue A1 - Jauch, Edward C. A1 - Valdez, J. Amadeo A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Reddened hypertrophied lingual papillae, called strawberry tongue, are primarily associated with scarlet fever caused by group A streptococcal enterotoxin. The tongue initially appears white with the erythematous papillae sticking through the white exudate. After several days, the white coating is lost and the tongue appears bright red. Other signs of group A streptococcal infection include fever, an exudative pharyngitis, a scarlatiniform rash, and the presence of Pastia lines (petechial linear rash in the skin folds). Kawasaki syndrome may also present with an injected pharynx and an erythematous strawberry-like tongue. It is essential to make the distinction between streptococcal infection and Kawasaki syndrome, since the latter is associated with a high incidence of coronary artery aneurysm if left untreated. Also important to consider is toxic shock syndrome, in which one-half to three-fourths of patients have pharyngitis with a strawberry-red tongue. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1181040725 ER -