<s>[INST] hi there i have a 3 yr old boy how has been sick most of his life with chesty coughs, running nosies, very swollan glands on the side and back for his neck aches and pains and pussy throat. no matter what bloods we have done no one can give us an answer. three week ago my son woke as pre usual though the night screaming in so much pain, to the point he was trembiling and high temps. a few days later his skin on his fingers started to peel of from the under his finger nails in whole form, to the extreme that you can peel his whole fingers tips back. now it is on his feet but not so bad and a very little on his knees. how can i help him and what is happening to my little boy. [/INST] Hi...by what you say I feel that there are 2 possibilities - 1. Kawasaki Disease2. Scarlet feverI suggest you consult your pediatrician regarding this immediately as both require immediate medical attention and evaluation.Regards - Dr. Sumanth </s>