Maybe I’m still not clear on what RTN/STN is, but isn’t it some bacteria that infects some area of the acro and spreads from the wound site? E.g. could be treated with antibiotics in theory. For this kind of random skin sloughing pattern I would have guessed this is just a dying acro. When I’ve seen this it’s usually an acro that has used up its stored energy due to adverse conditions (could be light, pests, having to constantly heal against damage from too-high flow…) and is just dying, there’s nothing that can be done for it.