Conversation: The conversation between human and AI assistant.
[|Human|] I developed this sudden rash on my scrotum 5 days back. It has got red papules, tiny lil ones. Initially it was only on one side but now it has spread to involve the other side too. The scrotal folds have become prominent and the skin has become saggy.It is intensely itchy and any handling of the skin increases the itch. I am not sexually active and am 24 years old. I tried a bit of betnovate GM but it didnt improve so I m applying itch guard now. But I am worried it might be scabies . Can scabies occur only on the scrotum? I mean I dont know anyone who s got it and nobody in my family has it. I have just used itch guard twice so should I try it for a few days? Or should i try permethrin? (I am a medical student)
[|AI|]  Hi, you seem to be having nodular scabies and the persistent itching has led to prominence of your scrotal skin folds. Take tab ivermectin 12 mg stat and apply 5% permethrin all over the body below neck overnight. Take bath next day and get your used clothes washed properly. Both the medicines have to be taken just once. From next day onwards start applying a mild steroid cream over scrotal area twice in a day at least for 5 to 7 days. Stop applying itch guard or renovate cream. Scabies can involve scrotum and other body areas too, and it can occur even if no one in your family is having it. Take care