Conversation: The conversation between human and AI assistant.
[|Human|] Hi there, my 2-year-old kid has developed some skin lesions 2-3 months ago, they are very itchy, all over the body, mostly on the extremities, face and neck area. Consulted a pediatrician who did some tests and told this was due to mosquito bites. Blood tests were normal, but has an elevated C-reactive protein of 12. White count was 8900 and platelets were 3.6 lakhs for a normal of 4.0. Doctor just gave some antibiotic and told to take precaution against mosquitoes. These lesions itch very much and the itching is increased just before sleep. Please help, as it has been more than 3 months and this is not abating, still persists.
[|AI|]  With the complaints you are describing the diagnosis is scabies. However, face is usually not involved but can be in some severe cases. It is a very small organism that lives in the skin and causes severe itching, more felt before sleep, it is more found at extremities between fingers, maxillae, neck folds. As that organism can be found soiled in clothes, bedsheets etc., so it can affect other family members also. Treatment is simple with permethrin cream application and disinfection of clothes, bedsheets and other garments of all family members by simply washing in hot water to prevent recurrence.