Q: My child's hands and feet are red again after scarlet fever treatment. Is it a relapse?
Medically reviewed by Sang Hyun Ahn, MD
Content edited by Myeongchan Kim, MD
This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.
Question:
I have a question about a possible scarlet fever relapse. My child was suspected of having scarlet fever and took antibiotics for 8 days. Our doctor said we didn't need to complete the full 10-day course, so we stopped the medication. However, starting yesterday morning, my child's hands and feet turned red again, just like when they first had scarlet fever. We visited the clinic again this morning, and the doctor said that as long as there is no fever, we don't need to restart the antibiotics.
Is it really okay to just observe them at home? I am wondering if I should wait and follow this doctor's advice, or if I need to visit a different clinic for a second opinion. Thank you!
Answer:
It is completely understandable to be worried about the redness returning to your child's hands and feet after scarlet fever treatment.
To summarize your situation: your child took antibiotics for 8 days and stopped under your doctor's guidance. When the redness returned on the hands and feet, your doctor evaluated the child and determined that antibiotics are unnecessary as long as there is no fever.
Key Medical Point:
After a scarlet fever infection, peeling of the skin (desquamation) on the hands and feet is a very normal reaction during the recovery process. This typically occurs 1 to 3 weeks after the initial illness and is not a sign of reinfection. The redness you are currently seeing is highly likely to be the early stage of this natural peeling process.
What to do at home:
Apply moisturizer to the hands and feet frequently (use unscented, hypoallergenic products).
Do not forcefully peel or pick at the skin if it begins to flake.
Closely monitor your child for any fever, sore throat, or spreading of the rash.
When to seek immediate medical attention:
You should continue to follow your current pediatrician's advice, but seek a prompt medical re-evaluation if any of the following symptoms occur:
Fever of 38.0°C (100.4°F) or higher
Return of a sore throat or difficulty swallowing
The rash spreading to the trunk, arms, or legs
Joint swelling or pain
Decreased urine output or blood in the urine (hematuria)
Regarding a second opinion:
If your child only has redness on the hands and feet without any of the warning signs mentioned above, it is perfectly reasonable to follow your current pediatrician's plan and observe their progress at home. If you still feel anxious or uncertain, you can always schedule a follow-up visit with your doctor in 2 to 3 days to check on the recovery.
For now, focus on keeping your child's skin well-moisturized, and be sure to consult your pediatrician again if any new or worsening symptoms develop.
For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.
