I need 49 year old female With complaints of rashes over the face, torso and upper limbs Was present for 1 week about 6 weeks back when she travelled to Philippines Was seen by a doc there - recovered slowly Again appeared last week when she came back to the UK Started on the face and then the upper limbs and below the neck Behind the ear as well She is a nanny No fever, giddiness or systemic symptoms Cough since yesterday Seen GP 5 days back Was started on clobetasone and permethrin On exam Red erythematous plaques and some red macules slightly raised Very itchy Leathery to touch Non blachinf