### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi, i m an 17 year old female and i have an itchy rash that appeared on the top of my hand out of no where a few days ago. it started out as a cluster on my wrist with one or two sporadic tiny fluid filled bumps towards the center of my hand. fast forward 3 days later and my hand now looks like it s been covered with a blanked of a toads skin. this isn t the first time it s happened though, i ve had it twice on my face and one time before on both of my hands and all of those came along for the first time when i moved from california to new jersey and then back again. my 18th birthday is in about two weeks so i don t know if it s stressed induced or some sort of fungus? i need some answers because i just can t have this going on for 3 months and then disappearing again.

### output:

Hi there. Thanks for writing in to Chat Doctor & for a detailed history & clinical features which does make our task of helping you out that much easier! From all that you have stated, No it does not appear to be a fungal infection to me. It appears more to be an allergic phenomenon & most likely a photoallergic reaction & /or more specifically a phyto-photodermatitis & it may be related to the plants in your region. Please try applying a topical betamethasone-fusidic acid cream locally to the area & taking an antihistamine. This should help relieve your symptoms. Ideally, go across to a dermatologist & do some patch or prick tests depending on what the suspicion is on (allergen I meant) & this may help give you a clearer picture for closure & one can avoid implicated allergens. Trust this was clear advice & gives you a clear action plan.  Good Luck!  Chat Doctor. 