<s>[INST] I have a rash that appears to come out more at night and for a few hours in the morning on my lower abdomen and my upper thighs and on my wrist and my upper under arms then goes away during the looks like red raised mosquito bites more itchy on my wrists been going on for three days [/INST] Hello and welcome to Chat Doctor Nocturnal itching and lesions resembling mosquito bites distributed over upper thighs, wrists, upper arms is very suggestive of Scabies, an infection caused by the itch mite Scopes Scuba. Nocturnal itching is characteristic. A single whole body application of 5% permethrin cream, from neck downwards, with special attention to the finger webspaces, axillary and groin folds, left overnight is curative. It is advisable to treat all the family members, empirically since they may already be infected being in close contact with each other. An OTC oral antihistamine e.g. cetirizine 10 mg once daily would help in providing symptomatic relief from itching the clothes, bedsheets, pillow covers, towels, handkerchiefs etc. should be washes and air Chat Doctor. Regards </s>