Conversation: The conversation between human and AI assistant.
[|Human|] I am a young healthy 27 year old, however I do smoke and I drink alcohol on the weekends.  I have a itchy rash on my ankles that happend after laying in the grass working on a vehicle.  It was more on my left and now it is spreading a lot on my right ankle.  It is very itchy to the point where it wakes me up at night.  I have tried cleaning it with rubbing alcohol and hydrocortizone cream and it is still itching and spreading.  What could it be.
[|AI|]  Hi, It seems that most probably you may be having allergic contact dermatitis on ankles. It might be due to grass. Please have visit to dermatologist and have firm diagnosis and treatment. I would like to suggest as follows.- a short and tampering course of oral steroids- antihistamines to relieve itch sensation - mild steroid cream may be applied-avoidance of contact with grass and others suspected allergens hope this might help you... Thanks.