Conversation: The conversation between human and AI assistant.
[|Human|] i am a 42 yr old female... never had skin problems but the last 2 weeks i have been getting bumps on my arms and neck that look like mosquito bites.. very itchy,,, i scratch so bad that they bleed .. my hands are very itchy.. swelled up.. feel like they are on fire and there is no relief.. ive tried benadryl .. allergy meds... all types og anti itch creams and nothing is helping me... and now ive been running a fever.. any ideas??
[|AI|]  Hello, The bumps on your neck and arms being very itchy suggests it may be cholinergic urticaria and high dose long acting antihistamines will help. Fever, joint pains, rash that does not disappear but looks like a bruise or leaves a scar needs further investigating to ensure that it is not a form of vasculitis (inflammation of blood vessels). However, just a fever is not suggestive of this condition, and a viral infection triggering the itchy rash is usually the most likely explanation. If the fever continues, do ensure an infection screen is done, and you are on the right antimicrobial but continue on the antihistamines until the rash is well gone for 2 weeks and then stop the antihistamine tablets. Thanks.