MDM //

subacute rash over months_. Given distribution, characteristics and associated symptoms, likely secondary to scabies vs bedbugs. No overt mucosal involvement w/ low s/f TEN/SJS/EM. No e/o superinfection. Discussed hygiene/decontamination measures, continue ivermectin and permethrin_; symptomatic t/w benadryl and steroid burst. F/u w/ dermatology as discussed. Cautious return precautions discussed w/ full understanding. Prompt follow up with primary care physician discussed.



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