patient was started on scabies treatment topical. no change. | Figure 1

BurhanAhmedMD

Dermatology

Case Summary
Patient was started on scabies treatment topical. No change. She was given topical steroid for the lesions. Says the scabies treatment improved it but after 3 days of treatment the lesions became pruritic again. My thinking is it's either atopic dermatitis or a complicated case of scabies. Rare thing might be reactive perforating collagenosis. Thoughts on differential diagnosis?

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