Conversation: The conversation between human and AI assistant.
[|Human|] My wife has a symmetrical rash that started about 6 wks ago with dry, itchy, puffy eyelids. It has migrated / spread to several parts of her body. It gets excrutiatingly itchy and painful and inflamed. It waxes and wanes throughout the day. It does not seem to respond much to antihistamines. She is 55 yrs old and has started early stages of menopause, we believe. She has seen 2 dermatologists and 2 walk-in clinicians as well as her obgyn. She is scheduled with an immunologist tomorrow. We haven t totally ruled out lupus as the symptoms don t really match that disease. Any ideas?
[|AI|]  Hi, The rash could be an urticaria (hives) or an allergic contact dermatitis. Allergic contact dermatitis could be due to any chemical, commonly hair dye. I request you to think for any particular causative agent and to avoid the causative agent. You could take an antihistamine tablet for reducing the symptom. But, the final diagnosis could only be made after co-relating your history with clinical examination. So, I request you to consult your Dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further.