<s>[INST] What are the symptoms? [/INST] The first symptoms of scarlet fever often include a sore throat, headache, fever, nausea and vomiting.  After 12 to 48 hours the characteristic fine red rash develops (if you touch it, it feels like sandpaper).  Typically, it first appears on the chest and stomach, rapidly spreading to other parts of the body.  On more darkly-pigmented skin, the scarlet rash may be harder to spot, although the 'sandpaper' feel should be present
Fever over 38.3º C (101º F) or higher is common
White coating on the tongue, which peels a few days later, leaving the tongue looking red and swollen (known as 'strawberry tongue')
Swollen glands in the neck
Feeling tired and unwell
Flushed red face, but pale around the mouth.  The flushed face may appear more 'sunburnt' on darker skin
Peeling skin on the finger tips, toes and groin area, as the rash fades.
It usually takes two to five days from infection before the first symptoms appear.  However, the incubation period may be as short as one day and as long as seven days.
Scarlet fever usually clears up after a week, but it is advisable to visit your GP to get a full diagnosis and proper treatment. Source: HILL VIEW SURGERY. Link: https://www.hillviewsurgery.co.uk/info.aspx?p=20. Field: Infectious Disease. Disease: Fever </s>