instruction: hello doctor I am a 26 year old female with no significant health history I have anxiety and I had hyperthyearoidism in the past I have had an itchy rash for over three months it started as a small patch behind my left knee it happened after having a ring shaped rash on my left thigh I was treated for that with antifungal cream and it went away this new rash is completely different I am extremely itchy to the point it is interfering with my life there is no obvious rash unless I have already scratched that area I then get a bunch of small skin colored bumps also after scratching I often get petechiae and bruising the itch is everywhere but my face I have been waking up wet from sweating even though my bedroom is fairly cold at night a few times I have checked I had a small fever of around 1 my doctor puts me on antihistamines benadryl at night claritin during the day and steroid cream it has not worked she recently wrote me a prescription for prednisone but I am worried that a skin allergy just is not what I have I am currently taking effexor 75 my klonopin 5 my when needed
output: hi you do have a bright red colored rash over the legs such rashes occur mostly as a response to allergies now allergies can be because of food artificial colors or even at times because of insect bites the petechial patch on the shin is nothing but a result of excessive scratching of the skin you must use a good preservative free hydrating moisturizer cetaphil restoraderm in the morning if the itching is severe enough there is no harm in taking a short course of prednisolone most importantly get your blood workup complete blood count done you can get back to me after the blood work is done