<s>[INST] I have been diagnosed with psoriasis before. I rarely have an outbreak. I also have rheumatoid arthritis. About four days ago I came up with a place on my neck that looks like four bug bites. It is very itchy. I have assessed my home and did not find any evidence for bug bites. It is now spread to about four other locations on my neck and chest. They feel like a pimple but do not have any fluid in them. There is no scaling. The original four marks are now more flattened and the redness has come together. Could this be a psoriasis outbreak? [/INST] Hi!"Welcome to Healthcaremagic. com.I have read your query in detail and do understand your concern."Psoriasis is usualy red scaly patches and not very itchy.It doesn't seem to be psoriasis, rather it may be  some irritant dermatitis.You can take antihistamines like,  tab levocetrizine 5 mg twice daily. hydroxyzine 10mg twice daily.A combination of steroid like mometasone or clobetasol and antibiotic like fusidic acid can be applied over it twice daily for one week. This will help relieve irritation and also minimize erythema."Hope this helps!Good luck!" </s>