Conversation: The conversation between human and AI assistant.
[|Human|] I have had a rash now for two weeks and each day it spreads a little despite antibiotics and antihistamine creams. The spots are tiny - like little pin heads and the itching is driving me crazy despite Cetirizine and ointments.  I am worried that as I am not in pain or ill the GPs will not take me seriously and I cannot sleep at nights.
[|AI|]  Hi, spreading rash itching especially at nighttimes, spreading even after taking antihistamines can be scabies. See whether other family members are effected. See typical sites like finger web areas, wrists , umblicus and the genial areas and scrotum. Apply permethrin from neck to toe overnight and bath in the morning.it should be applied twice with one week apart. All clothes should be washed in hot water. Use cetirizine and antibiotic daily. If still no response go for oral steroids