A 7-year-old male was brought to you by his mother, who is concerned about an itchy rash that has been getting

A 7-year-old male was brought to you by his mother, who is concerned about an itchy rash that has been getting worse on his feet and legs for the last 3 weeks. The mother states no one else has a rash at home. On exam, you note a pale pink, pinpoint rash with scattered vesicles and several scabbed excoriations. The rash is linear and begins in the webs of the toes on the left foot but at ankle height on the right leg. He says it really itches and that sometimes it wakes him up from sleep at night, itching intensely. What do you decide? The diagnosis is varicella, and the rash will subside without treatment. The diagnosis is roseola, no treatment because it is self-limiting. The diagnosis is atopic dermatitis, and the treatment is 1% hydrocortisone bid. The diagnosis is scabies, and the treatment is Elimite cream in one application left on for 8 hours.

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