<s>[INST] 55 yrs old 6'2" 210 lbs Male Non smoker non drinker. I have a red type rash that starts on the back of my neck and half circles down half way to my breasts. Almost like I was wearing a muscle shirt out in the sun. Problem is I haven't been out in the sun for over two weeks. I also have a rash in the fold of both arms extending down my forearms. Nothing anywhere else. It itches like crazy and anything I put on it seems to dry it out and it just ultimately itches and flakes. Very embarrassing. OTC 1% antibiotic creams relieve the itch but drys the skin out completely and it flakes again. lotions work for a while but then start itching eventually. I haven't changes my diet and do eat healthy with plenty of fruit and veggies. I should note that I have tremendous stress in my life right now and when I was very young I had eczema as well as Asthma and allergies. Presently I have been using a Combivent inhaler ( which is helping me much at all) and when I have been going to sleep at night I have bee taking a 4 hr generic beneadryl capsule to help me get to sleep and help with the itching. Sorry for the length of the question but I'm trying to be thourough and provide you with as much info as I can. I don't have insurance and the free clinics are totally full with lines that don't seem to end and I don't want to go to the emergency room. Any ideas? [/INST] Hi,It seems that you may be having atopic dermatitis.According to history given by you, you are having atopic diathesis.There is history of eczema and asthma.You are right, stress is also maor factor for your disease.There may be some allergen ,which have induced your disease.Keep your skin oily with moisturiser.Avoid contact with wool, grass, housedust, housedust mite,deodorants,sprays, cosmetics..etcAvoid eggs,fish,prawns,beans,peas,nuts,bananas,cows milk,curd and milk products..etcTake anti histaminics till itching is relieved.Short and tappering course of steroids may be taken.Apply mild steroids cream or tacrolimus oint.Avoid soap bath, you may use dettol in water for bath.Avoid stress,worries and tension.Even sunrays might exacerbate the disease, so take precaution for protection from sun.I think,You may be benefitted.I hope you got my answer.Thanks.Dr. Ilyas Patel MD </s>