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dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4069
Experience:  30 years practice in general and cosmetic dermatology
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I have a painful dime sized patch of crusted scabies that

Customer Question

I have a painful dime sized patch of crusted scabies that has been dormant for some ten years. While trying to find a solution I was able to get it to respond to sulfur ointment. It then broke up and spread to my whole body. Three months later now, I have it under control with the use of neem oil, tea tree oil, and clove oil. For scabicides, permethrin does not work at all and 25% benzyl benzoate works very well. I've done ten oral ivermectin treatments (standard 200mcg/kg) so far. Onto my question:
I am now trying to remove the still existing small patch of crusts. Following an aboriginal Australian treatment guide, I am alternating benzyl benzoate and salysilic acid each day but with every salysilic treatment the breaking of the crusts causes an awful spread.
How can I most reliably and safely go about breaking up the crusts?
Submitted: 9 months ago.
Category: Dermatology
Customer: replied 9 months ago.
Here's an image from yesterday:
Expert:  Dr. David replied 9 months ago.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 9 months ago.

that looks like psoriasis or eczema of your skin.

you need to see a doctor to get a skin evaluation

you may benefit from steroid creams.

and skin allergy testing to see

you could be allergic to something.

how old are you?

Customer: replied 9 months ago.
I just told you it is scabies. I have been through two full scabies cycles involving lesions, eggs, and nodules.
Expert:  Dr. David replied 9 months ago.

how do you know it is scabies? have you seen a doctor to get a diagnosis? a skin scraping?

if scabies, then permethrin should work.

crotamiton topical is another option for scabies on your skin,

Customer: replied 9 months ago.
Not helpful, not responding to you any more.