Treated 4 scabies 4 months (permethrin) 2nd opinion said its eosinophilic fasciitis should i take methylprednisole afraid it will worsen if its scabi?

Not if it's scabies.: "scabies" is a term for pediculosis, a skin infestation of tiny insects. It usually respond to Permethrin but it may take more than one treatment. If it is eosinophilic fasciitis, then it is a white blood cell problem and should respond to prednisone. Prednisone can make the skin thinner and more difficult to heal ulcers that occur or skin tears that occur.