64 yr old male. Outbreak of rash and red bumps, severe itchi | Figure 1

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64 yr old male. Outbreak of rash and red bumps, severe itching. Treated with allergy medication in addition to oral (ivermectin) and topical (permethrin 5%) scabies medication symptoms continue to persist with new outbreaks occurring. Does the skin outbreak look like a typical crusted scabies outbreak? If so would retreatment with a different medication prove to be more successful? Thank you.

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