This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: JIPMER 2018, Subject name: Pediatrics
Symptoms suggestive of Scarlet fever are all except:- 
Select and explain. 
A. Gooseflesh, B. Nagayama spots, C. Desquamation of palms, D. Strawberry tongue
B: Nagayama spots
Answer: B: Nagayama spots 
Explanation: Scarlet fever: Caused by Group A streptococcus Pharyngitis and strawberry tongue is seen Erythematous rash appears 24-28 hr after onset Pastia lines or Thompson's sign is pathognomonic of scarlet fever. Skin has a goose-pimple appearance and feel rough Desquamation of palms and soles seen Nagayama spots: in Roseola infantum