In my clinical work, I often have patients with small, itchy rashes all over the body, who are treated in the hospital several times according to eczema, and the itching can be reduced during the period of medication, but they just can’t get well. The following is a selection of my consultation process. Patients with itchy and small rashes all over the body can take a look at it, it may be of great benefit to you! Patient: Doctor, please cure my eczema completely, I’ve been to many hospitals and doctors, but they all say it’s eczema, but I’ve taken the medicine and applied it, and I’ve taken the injection, but I just can’t get it done. Doctor: Really? Don’t worry, let me take a look at your rash. (Upon examination, the patient’s trunk and extremities were found to be symmetrically distributed with pinpoint to rice-sized papules, with fine scales on the surface and dry skin). Patient: Can it be cured? Doctor: Then let me ask you again, do you have small bumps on your scrotum and penis, which are very itchy? Patient (amazed): Yes! How do you know that? Doctor: This is “scabies”, not eczema. It’s just that the rash on the trunk and extremities has become atypical after the topical application of hormonal creams. That is, the eczema has become eczema, so many doctors mistake it for eczema. Patient: So how can I get better by taking and applying medication according to eczema? Doctor: Eczema is usually given oral anti-itch medicine and external poor hormone medicine, of course your itching sensation and rash will get better. Patient: Then why can’t it get better completely? Doctor: That’s the point! Although both eczema and scabies have itching and a rash, the causes of the two are very different. Scabies is a rash and itching caused by scabies worms proliferating on the human body surface. Therefore, the key to treating scabies is to exterminate the scabies worm! Patient: I have a family member with my condition, so is scabies contagious? Doctor: Scabies is highly contagious, especially to people who have slept under the same blanket. Therefore, the whole family should be treated at the same time. Patient: Can I get rid of it this time? Doctor: No problem. But after the treatment, don’t have “close contact” with people who have scabies, or you will catch it again! Usually after 4-7 days of treatment, you can say goodbye to scabies. The nodules on your scrotum are a kind of perversion caused by scabies dying inside the skin, and this needs a longer treatment, mainly topical hydrocortisone butyrate cream or halometasone cream. If necessary, local seal or cryotherapy can be given. Patient: Thank you.