instruction: hello doctor this query is regarding my baby boys health he is 18 months old and recently had his varicella shot last month last week he suddenly started shouting in the middle of his sleep and kept scratching his forehead and neck region when checked two mosquitoes were near him and had bitten him generally he gets popular urticaria after any insect bite but after three days he got lesions all over his face arms and legs checked with my doctor and initially it was ruled out as chickenpox along with insect bite allergy but even after a week he still did not show improvement the older ones are very slowly recovering but everyday new lesions are coming up and he scratches like anything despite a lot of medications please help his current medications are aciclovir 5 my thrice completed the day course azithral my night only for seven days xyzal my thrice daily now the doctor has started him on omnacortil steroid medication and kid red 5 my twice daily please suggest if we are treating him the right way he weighs 10 keg no fever cold or body pain symptoms
output: hi as per the history and pictures shown I would recommend to get the child evaluated for scabies if the above treatment does not work until then continue the treatment as going on it appears to be fine as per my knowledge as I have not evaluated the child physically if the treating doctor feels that it is scabies after examination it would be advisable to use one dose only of permethrin on the body and on the scalp I hope this helps