7th August 2020

A 76-year-old gentleman from a refugee camp presents with itchy rashes on both of his palms, wrists and the sides of his fingers

A 76-year-old gentleman from a refugee camp presents with itchy rashes on both of his palms, wrists and the sides of his fingers. He states that the pruritus is notably worse at night. On examination, several tortuous burrows and rubbery nodules are found on the affected areas. He was prescribed with a topical permethrin 5% cream. Given the likely diagnosis, what is the second-line treatment for his skin condition? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.