o generally most
vivid in the evening, gradually becoming paler towards morning.

The eruption is at its height on the fourth day;--it begins to decline
on the fifth, when the interstices widen, and the florid hue fades;--on
the sixth, the rash is very indistinct; and on the eighth day it is
wholly gone.

The various symptoms with which the eruption is accompanied, gradually
disappear with the efflorescence; but the tongue still remains morbidly
red and clean. The peeling off of the cuticle (the outer layer of the
skin), which begins about the end of the fifth day on the parts on
which the eruption first appeared, proceeds; so that about the eighth
or ninth, portions of the cuticle are thrown off, the thickest and
largest being those detached from the skin of the hands and feet.

SCARLET FEVER, WITH SORE THROAT.--In this form of the disease, the
fever and rash are accompanied with inflammation of the throat.

SYMPTOMS.--The symptoms are more severe than in the mild form of this
disease, and, in the majority of instances, the inflammation of the
throat appears with the eruption, and goes through its progress of
increase and decline with the cutaneous eruption. Sometimes, however,
it precedes the fever; whilst at others it does not appear until the
rash is at its height.

It is generally in the course of the second day that the child
complains of considerable stiffness in the muscles of the neck,
extending to the lower jaw, and under the ears;--of a roughness of the
throat, and difficulty in swallowing;--and some degree of hoarseness
will be noticed: all so many indications that the throat is affected.
Very shortly, an increased secretion of the mucus of these parts
occurs, and, collecting about the tonsils, aggravates the child's
sufferings, from the frequent and ineffectual efforts made to expel it.
If the inflammatory action be more severe, exudations of lymph will
also be poured out, and intermingling with the mucus, greatly augment
the difficulty of swallowing. At this time the lining membrane of the
mouth, as also the tongue, assume a florid red colour; the red points
of the latter becoming much elongated.

The febrile symptoms are severe from the first; amongst others, there
will be headach, sometimes accompanied by slight delirium, nausea,
intense heat of skin, languor, and considerable inquietude and anxiety:
and as the inflammation approaches its height, the fever increases, the
pulse rises, the bre