Stojković-Filipović, Jelena (25228028100)Jelena (25228028100)Stojković-FilipovićLalošević, Jovan (57190969635)Jovan (57190969635)LaloševićBosić, Martina (56606207600)Martina (56606207600)BosićNikolić, Miloš (56910382000)Miloš (56910382000)Nikolić2025-06-122025-06-122021https://www.scopus.com/inward/record.uri?eid=2-s2.0-85129560446&partnerID=40&md5=21799aa39193ab8256cf58ee6521807dhttps://remedy.med.bg.ac.rs/handle/123456789/4394Scarlet fever typically presents with distinctive erythematous papular rash following pharyngitis. Atypical forms may develop, making the diagnosis difficult. We present the case of a girl with feve, and unusual vesicular skin eruption (miliaria scarlatinosa) preceded by a skin infection, without mu-cosal changes. Leukocyte count, C-reactive protein, and antistreptolysin O-titer were elevated. Bacteriological swabs of the skin injury revealed Streptococcus pyogenes. Histopathology was compatible with scarlet fever exanthema. Intra-muscular penicillin and topical wound care induced complete remission. It is of great importance to be aware of uncommon clinical presentations of scarlet fever in order to establish a timely diagnosis and prevent potential com-plications. © 2021, Croatian Dermatovenerological Society. All rights reserved.girlmiliaria scarlatinosascarlatinascarlet fever