Just a rant really.....nothing that can be done now....for those that saw my Scarlet Fever thread...but GP disagreed....

[SlightlyMadSweet]

...where I was absolutely convinced and Gp said absolutely couldn't be.....

she is now peeling

round the nose she has a powdery peel.
All the pads of her fingers have peeled off .

Looks like I was right ...unless anyone can give me an alternative explaination as to why she is peeling 10 days after having all the symptoms of Scarlet Fever

bump so you can give me pointless cyber sympathy and tell me my GP (who I formerly loved ) is an arse.....

Grrr for you SMS. He's an arse.

Scarlet Fever and peeling skin? How did you conclude your child had scarlet fever?

your gp's an arse

(how is she? - or is that a silly question?)

did she have antibiotics?

She is fine.

She didn't have the ABs. GP wouldn't diagnose because no confirmed sore throat/strawberry tongue.

QS - The scarlett fever rash is v v distinctive. It was suggested on a thread I started. I looked it up and the rash description in terms of spread, timescales, texture & appearance were spot on. GP admitted all of that. BUT SF is always preceded by a sore throat - and we had no evidence she had had a sore throat (apart from the fact that 3 other household members had it whilst she had the rash - so we assume she passed the strep throat to us).

Scarlet fever is often followed by peeling of hte skin - which is (apparently) reduced/prevented by the ABs that GP wouldn't give.

SHe is just picking at the skin on her fingers....which is only going to make it worse

Grrrrrr

My son had scarlet fever last year. Stereotypical. The Strep throat may be just that in most people, but sometime it developes into scarlet fever. I had tonsillitis at the time, my youngest had a throut infection too. My my oldest got scarlet fever.

I know QS...we weren't aware of her having hte strep throat.....which is why there was no diagnoses....I assume she had throat because we all subsequently had the throat.

It was the sunburn sandpaper rash I was basing it on...

I told you so...

I didn't disagree with you n the slightest, in fact you had me more convinced than my own GP......at the end of the day I had to trust the verdict of the GP who physically examined her rather than a virtual consultation. I think it was the lack of strawberry tongue which was the sinker...

So how long/widespread can I expect this peeling to be?

Her fingers are looking pretty grim(although not painful) already .

Can I expect the peeling to cover the whole of the rash area? Or just patches?

I told you so too...

GPs are not good at picking this up for some reason, despite it being seemingly much more common again these days.

Not sure about the peeling as my DS did not get it having has the ABs.

However, do make sure you keep an eye out for rheumatic fever symptoms over the next couple of weeks, and get her urine tested also for glomeronephritis. (the complications which can follow untreated SF).

rheumatic fever symptoms please....

...should I really take her back for a urine test????

,....and please stop saying "I told you so" . I wasn't naughty....I did everything that I could bar getting a 3rd opinion (well the first 2 were the same GP).....

make sure you let the gp know as well - the urine test could be a good reason for going back. they'll only improve through constructive feedback!

I think some GP's just get it wrong. My Dd has every symptom of German Measles a few months ago, but GP said that her rash wasn't dark enough. I believe that she did have it. All Gp has done is make me reluctant to take her again(she currently has a strange rash of spots that keep coming for a few days then disappear and crop up elsewhere, they are both tiny and many together and single and larger).I think GP's make a lot of people feel inadequate. grrr.

Rheumatic fever:

Fever, Joint pain and swelling, abdominal pain, skin rashes or nodules, jerky body movements, shortness of breath.

You should definitely take her back for a urine test-or buy some tests online if you think GP will not do so. (You need to check for protein).

Sorry for saying I told you so-I know how hard it can be to get doctors to listen!

sorry to hijack but

EMMA1977 could you please answer my last couple of posts on this thread please.

no worries NA.

If you want you could all come and tell my GP "I told you so"

In defence of your GP, I don't think most doctors expect to see scarlet fever any more. I'm a doctor and I've never seen it. I didn't even realise it was doing the rounds again until I logged on here. It's still very much seen as a disease of many years ago. We now only really see the heart valve damage in our elderly patients who had it years ago. It's like things like mumps and measles. We are rubbish at diagnosing them as we so rarely see them.

I am jibing at my GP, largely in jest - as I realise that it isn't that common, and I do agree she was lacking teh key strawberry tongue.

Despite that as a parent I am obviously frustrated (but not necessarily angry) that he wouldn't give her ABs. I am frustrated that I was 98% convinced it was SF after consultations with the MN family practice (who have a lot of expereince) and google.

I am frsutrated that I didn't seek a second opinion when all my collegues told me to. I am annoyed that I didn't try harder to convince GP to give ABs as a "precautionary" measure.

I think that for those reasons I am as (if not more) frustrated with myself than the GP.

When dd was a year old she was very poorly with a rash. Had the peeling skin thing too. It was diagnosed as a "viral" infection - possibly German measles as it was before she'd had the MMR - I thin the pointers for that were raised glands behind th ears.

You don't need all the diagnostic criteria for a diagnosis of SF. Also, skin peeling can be caused by a variety of other infectious conditions with rashes.

The peeling will probably just be hands and feet, not the whole area of rash.

I'd also second taking her back for a urine dip.

SF is v uncommon these days- I've only seen it 3 times in my career.

I don't want to go back looking like I am nagging though.

I felt really foolish last time when GP said/thought I was wrong.

Nag away! What's the worst that can happen?

GPs are fallible- As I can attest to on several occasions.

I do not wish to be alarmist but the symptoms you are describing fit more with kawasaki disease than scarlet fever.

Have you taken her back for review by GP?