This is clearly among the very worst cases of poison ivy rash we have EVER seen.
The fellow has seen a doctor and is waiting for the medicine to take effect.
This is what happens when you get gobs of poison ivy sap on your hand, usually from tearing up the vines.
Luckily this fellow didn’t rub his face or his eyes with his hand so he didn’t spread the urushiol oil there.
But the itch? World class.