<s>[INST] Hi, my 15 month old son cheeks feel like sandpaper. This is not the first time this acured but when the doctors did the strep test it was negative. So my question is this time should I take him to see the doctor and if the strep test is negative goes he still have scarlet fever. [/INST] Hi... I feel with the strep test being negative, it is highly unlikely that it is a scarlet fever. I feel it could be eczema, a type of skin allergy. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor.  For this oil massage and lotions like Hiatus will help. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. </s>