Derm-Infectious Disease   

Would you combine antibiotics with isotretinoin?

Do you empirically treat itchy patients -with a non specific rash- for scabies without obvious clinical findings for scabies? 

Are dilute bleach baths enough? Should they use any topical therapies? Is there a need for Staph decolonization with something like mupirocin?

Do you recommend any changes to their personal hygiene practices? or changes to their environment?

Would you switch to itraconazole or perform fungal cultures? When would you consider repeating the course of treatment?