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Hello,

Thanks for posting your query.

There are many skin and systemic conditions which can present with such symptoms. Important possibilities which need further investigations are :

1) Viral illnesses which may present with fever and red, itchy bumps or rashes are the commonest.

2) Osler's nodes which are caused by the deposition of immune complexes. It is important to rule out any subacute bacterial endocarditis (SABE) and systemic lupus erythematosus( SLE) in these conditions.

In SABE, Patients present with a fever that lasts several days to 2 weeks. Nonspecific symptoms are cough, shortness of breath, joint pain and abdominal or flank pain or diarrhea.

You may need an ECHO of the heart to be done to rule it out.

Apart from that, antinuclear antibody (ANA) testing and anti-extractable nuclear antigen form the mainstay of testing for SLE.

Since the bumps are painful, you need to get a FNAC of the lumps and a viral and bacterial culture also done.

Complete blood count and a blood culture should be done to rule out systemic causes as well.

You should consult a physician and a dermatologist in this regards and get all these investigations done to rule out these two prime possibilities.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards,

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