I had black spots. Was told “black ick” or fluk worms. Treated for months with many different treatments. Nothing helped. Felt I was tormenting my pair of clowns so I Finally just threw them back in the display and they still have spots. But no other noticeable symptoms. I could never figure out what it was, but it’s been a year and no change good or bad. No other fish has these spots either. Very odd, racked my brain until it hurt until gave up.
Good luck. Sorry if I offer no help, but just wanted to share my experience. Take care.