Conversation: The conversation between human and AI assistant.
[|Human|] I am a 47 yr. old african american female and I keep getting this itchy rash in my chest area. I try not to scratch it, but I think when I sleep at night, i am sweating and I scratch it. However, my results from the scratching is the area turns dark. I went to a skin doctor last year and he said that I have adult exema. What do you think it may be?
[|AI|]  Hi, thanks for your query. You keep getting itchy rash in your chest which may be eczema, fungal infection, contact dermatitis Since your skin doctor has diagnosed it as eczema, I would go with him as he has examined it visually. It can be confirmed by a skin biopsy. Since it is present for more than a year chronic scratching can lead to pigmentation and thickening of the involved skin. Most important part of treatment is to break the scratch itch cycle by avoiding scratching and use of oral anti histamines regularly for two weeks, especially before you go to bed. You may get in touch with your doctor for prescription medicines in the form of topical and oral steroids if required. Hope this helps you.