15 y/o presented with fever first, now rash, not pruritic. what could it be.. what all diagnostic test to be done and how to treat?

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Rule out small vessel vasculitis.

Agree with dr manish rash is purpuric follow same.

15 year age can not be overlooked for HFMD...though typical.... Child must be investigated and thoroughly examined for any other condition

It comes under an ayurvedic codition vicharchika. Virechana can be most suitable treatment.

Seems purpuric spots.. Any h/o joint pain, Abd pain or gi hemorrhage.. Do CBC, PBF, ESR, CRP, MP, Dengue, RFT, LFT, Urine complete, complement level... It may be viral hemorrhagic fvr, HSP, ITP/TTP..

looks like vasculitis rule out HSP & other connective tissue diseases

HFMD L,pl look for plantar and oral lesions. No investigations needed

This is riketcell fever wells felix test should be done

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