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DermAtlas: TONGUE - toxic shock syndrome
© 2001-2009, DermAtlas
Image Name: Toxic_Shock_1_080819   File Type: jpg
Diagnosis: TOXIC SHOCK SYNDROME /
STRAWBERRY TONGUE
  Category: reactive erythema /
mucous membrane disorders
Body Site: tongue / face   Age: 14 years
Contributor: Will Sorey, MD    
Description: diffuse erythema of skin and red tongue with prominent papillae and white pseudomembrane
Comments: An adolescent girl was evaluated for fever and progressive morbilliform eruption. She developed weakness, hypotension, a strawberry tongue, and red vaginal mucosa. She was diagnosed with toxic shock syndrome triggered by vaginal Staphylococcus aureus overgrowth resulting from a retained tampon. This case was prepared by University of Mississippi year 3 medical student John Chapman.

DermAtlas: TONGUE - scarlet fever
© 2001-2009, DermAtlas
Image Name: Strawberry_Tongue_1_050618   File Type: jpg
Diagnosis: SCARLET FEVER /
STRAWBERRY TONGUE
  Category: cutaneous sign of systemic disease /
reactive erythema
Body Site: tongue   Age: 10 years
Contributor: Hannah R Boyd, RN    
Description: red tongue with prominent papillae
Comments: This 10-year-old boy developed a fever to 103 degrees F, tachycardia, cough, myalgias, numbness in his legs, a diffuse red eruption, and a strawberry tongue. He had a history of a strep throat 2 weeks earlier. He was treated with ceftriaxone and oral antibiotics for 10 days. The scarlatiniform eruption started on his abdomen and disseminated.
Related Images: Scarlet_Fever_Sandpaper_Rash_1_050618 

DermAtlas: TONGUE - strawberry tongue
© 2001-2009, DermAtlas
Image Name: Strawberry_tongue_1_040413   File Type: jpg
Diagnosis: STRAWBERRY TONGUE /
STREPTOCOCCAL INFECTION
  Category: clinical sign /
infections and infestations /
dental/oral disorder
Body Site: tongue   Age: 6 years
Contributor: Franz Ritucci, MD    
Description: red tongue with prominent papillae
Comments: This healthy 6-year-old girl with a low grade fever was noted to have a red strawberry tongue. A rapid strep test was positive, and she was treated for strep throat with oral amoxacillin.

DermAtlas: TONGUE - strawberry tongue
© 2001-2009, DermAtlas
Image Name: strawberry_tongue_1_040309   File Type: jpg
Diagnosis: STRAWBERRY TONGUE /
SCARLET FEVER /
ERYTHRODERMA
  Category: infections and infestations /
dental/oral disorder
Body Site: tongue / mouth   Age: 4 years
Contributor: Bernard Cohen, MD    
Description: red tongue with prominent papillae, generalized scarlatiniform eruption
Comments: A diffuse scarlatiniform eruption developed on this 4-year-old boy who demonstrates his strawberry red tongue and red and fine scaly papular rash. A throat culture was positive for Group A beta-hemoplytic Streptococcus.

DermAtlas: TONGUE, DORSAL SURFACE - scarlet fever
© 2001-2009, DermAtlas
Image Name: Scarlet_Fever_2_030326   File Type: jpg
Diagnosis: SCARLET FEVER /
STRAWBERRY TONGUE
  Category: infections and infestations /
reactive erythema
Body Site: tongue, dorsal surface   Age: 8 years
Contributor: Shahbaz A. Janjua, MD    
Description: red papillae with a white coating
Comments: This 8-year-old girl developed a red papular eruption on her lower extremities and a disseminated sandpaper-like rash 3 days after the onset of a sore throat with a positive Group A beta hemolytic streptococcus culture. She also had a strawberry tongue with a white membrane and prominent red papillae poking through the coating.

DermAtlas: TONGUE - strawberry tongue
© 2001-2009, DermAtlas
Image Name: candytongue_2_020527   File Type: jpg
Diagnosis: STRAWBERRY TONGUE   Category: mucous membrane disorders
Body Site: tongue   Age: 4 years
Contributor: Bernard Cohen, MD    
Description: red tongue
Comments: Two sisters show off their red candy coated tongues not to be mistaken for streptococcal induced strawberry tongues.
Related Images: candytongue_1_020527 

DermAtlas: TONGUE - strawberry tongue
© 2001-2009, DermAtlas
Image Name: candytongue_1_020527   File Type: jpg
Diagnosis: STRAWBERRY TONGUE   Category: mucous membrane disorders
Body Site: tongue   Age: 4 years
Contributor: Bernard Cohen, MD    
Description: red tongues
Comments: Two sisters show off their red candy coated tongues not to be mistaken for streptococcal induced strawberry tongues.
Related Images: candytongue_2_020527 

DermAtlas: FACE - scarlet fever
© 2001-2009, DermAtlas
Image Name: Scarletfever_5_020205   File Type: jpg
Diagnosis: SCARLET FEVER /
STRAWBERRY TONGUE
  Category: infections and infestations /
reactive erythema
Body Site: face / cheek   Age: 6 years
Contributor: Kosman Sadek Zikry, MD    
Description: white strawberry tongue, red scarlatiniform eruption with circumoral pallor
Comments: A 6 year old girl with a sore throat developed a widespread fine red sandpaper-like eruption with bright red cheeks, circumoral pallor, and strawberry tongue.
Related Images: All related Images  Scarletfever_1_020205  Scarletfever_2_020205  Scarletfever_3_020205  Scarletfever_4_020205 

DermAtlas: FACE - scarlet fever
© 2001-2009, DermAtlas
Image Name: Scarletfever_2_020205   File Type: jpg
Diagnosis: SCARLET FEVER /
STRAWBERRY TONGUE
  Category: infections and infestations /
reactive erythema /
mucous membrane disorders
Body Site: face / cheek
tongue
  Age: 6 years
Contributor: Kosman Sadek Zikry, MD    
Description: strawberry tongue; red scarlatiniform eruption with circumoral pallor
Comments: A 6 year old girl with a sore throat developed a widespread fine red sandpaper-like eruption with bright red cheeks, circumoral pallor, and strawberry tongue.
Related Images: All related Images  Scarletfever_1_020205  Scarletfever_3_020205  Scarletfever_4_020205  Scarletfever_5_020205 

DermAtlas: TONGUE - papillitis, eruptive familial lingual
© 2001-2009, DermAtlas
Image Name: papillitis_1_010930   File Type: jpg
Diagnosis: PAPILLITIS, ERUPTIVE FAMILIAL LINGUAL /
STRAWBERRY TONGUE
  Category: mucous membrane disorders
Body Site: tongue   Age: 8 years
Contributor: Patrice Plantin, MD    
Description: diffuse symmetric red papules on the tip and dorsolateral tongue
Comments: An 8 year old girl developed painful red hypertrophic fungiform papillae on the tip and dorsolateral part of the tongue. The center of the tongue, lips, gingivae, palate, and throat appeared normal. The stomatitis lasted 1 week and followed by 2 weeks a similar eruption in her 2 year old sister. These findings correspond to "eruptive familial lingual papillitis" described by JP Lacour et al. Pediatr Dermatol 1997;14:13-6.

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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