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You are the duty doctor and receive a letter from the out of hours team about a 6 year old girl that has been diagnosed with Scarlet fever. You saw her at the surgery 2 days ago with a widespread rash and did not suspect it to be Scarlet fever at this stage. You discuss the typical rash features seen in Scarlet fever with a GP colleague at lunch.

Which one of the following features is least in keeping with the classical rash seen with this condition?

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