AKT4-096

Callum is a 45 year old mechanic who presents with a 4 week history of generalised itching. His hands are most itchy, moreso at night. He wears gloves at work and cannot recall any obvious triggers.

Examination shows erythematous papules in the web spaces of his 2nd, 3rd and 4th fingers of the right hand and furthermore you notice two linear burrows on his left hand.

Given the most likely diagnosis, which one of the below statements is most correct with regards to management?

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