What kinds of things are typically misdiagnosed as ich?
I've said this in a few different threads now, but I attended a conference a while back with a veteran marine biologist speaking about disease and quarantining ect. In a study she (or someone else who she quoted) conducted, there was an average of 37 different parasites per fish that was collected. That number includes internal and external parasites. That said I QT everything now, however I do things different than others mostly because I am that impatient guy.
I had ich in my display and did an 8 week fallow period only to have it come back again. I then repeated that fallow and extended to 12 weeks. That was about 4 months ago and I'm pretty sure it is now beaten.
In my FOWLR tank, I have dosed cupramine for a 6 week period. Ich was seemingly gone. After reading 0 copper for a long time I put some corals back in, only colt coral as that is all my puffer wont eat so far. Corals did fine. Ich came back. I've actually started dosing cupramine in that tank again. This time left 2 small colt coral pieces in there. Those are bullet proof and are still alive. somewhat balled up but alive and I'm sure they will come back when the cupramine is removed. I'm about 8 weeks in on this treatment now, but I'm going to keep it in there til the end of January this time in case theres any stragglers. Also believe it or not, even though I've maintained a full .05 or better, there are still crabs and pods in my tank and fuge.
My point being with this, it can take ich 12 weeks to hatch from its cyst. Thats why the suggested fallow period is 12 weeks. So if your treating with cupramine or similar, you can treat for 4 weeks if your going to remove the fish from the treatment tank while they are still in full copper. If not, then I would keep them in copper longer, like 12 weeks. Copper can only kill ich after the cyst form hatches and prior to infecting the fish. It's a small window.
Let me be clear, I'm not advocating or suggesting those methods, simply sharing the experience.
I also read a thread a while back that the poster claimed to have cured ich in his reef. He claimed to use about 5 times the suggested amount of UV sterilization.
Either way, good luck.