8yrs old male child c/o fever with chills and rash over both arm started from axilla spreading towards elbow. similar rash is on knee and groin. a/w itching. rash appears more red in fever. had similar complain 8 fays back fever with chills and same rash. with similar presentation. dianosis? differential? RX?

A MALE PATIENT AGED 45YRS, COMPLAINT OF ITCHY ERUPTION WITH NO BUMPS.. HISTORY OF INTERMITTENT FEVER, AND SEVERE FALL IN PLATLETS....RISE IN ESR... HEADACHE STILL ON GOING, LATHARGY, INDOLENCE, STIFF JOINTS AND RESTRICTED MOBILITY... MENTALS- VERY CALM, SELF DEPANDENT..SOFT SPOKEN... SATIETY OF THOUGHTS, MOANS WHEN RISES AND SITS... CONTINOUS RUBBING OF THIGHS, WITH SANSATION AS IF BLOOD HAVE STOPPED GOING AWAY FROM THERE... AGGRAVATION bathing, rest, exertion slightest, evening, working... AELIORATION WARMTH, RUBBING, TALKING, STANDING, SUNLIGHT, EATING AFTER.... WHAT CAN BE THE DIFFERENTIAL DIAGNOSIS AND MANAGEMENTS...@Dr. Akshay Ingole @Dr. Md Shahbaz Ali @Dr. Ram Raj Tiwary @Dr. Debasish Sasmal @Dr. Rajan N. Iyer @Dr. Mohd Shafi @Dr. Suryakant Bheda @Dr. Sanjay Kumar Mallick @Dr. Rakesh Sapra @Renu Singh @Dr. Venkatesh K. N. @Dr. Yashpal Chadha

what should I do for it... should I use steroid injection for this..???????

27yr F has come yesterday with c/o body pain headache and throat irrtation and fever with shivering and mild cough she had 2or3 vomiting before that . o/e she is febrile temp 101 f pulse 100/bpm bp 100/70 no dehydration .in my area as earlier i have notified it is endamic with swine flue ie h1n1. so she was given paracetamol650mg tds and Azithromycin 500mg od . today morning she has not taken any medication but noted rashes as in picture predominently on face no burning no itching etc o/e rashes are discreet and all over mainly face on hard palate and soft palate also suspicious for kopliks spot. so confusion is .are these rashes of d/d 1 swine flu 2 G measales 3 dengue fever or 4 drug induced . can you help me in dx

Pt has h/o fever Cough and cold for 3-4 days An episode of loose motion yesterday And rashes today over face neck n torso.. No any h/o drug allergy/bt/other medical illness Her sister too had such rashes 15 days back over face and neck.