Hard to be sure of the exact cause.
Treatment will depend on your set-up.
If this is a reef tank your options are limited....
1- remove fish to QT and treat with Copper meds
2- remove fish to QT and treat with hyposalinity
3- leave the fish in the DT, feed garlic and selcon with meals to bolster the fish immune system and let it run its course.
I have tried 'reef-safe' ick treatments in the past with no success. I chose option 3, lost 2 fish.
There may be other treatments I have missed,...hopefully others will chime in.
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