<prompt> If you are a doctor, please answer the medical questions based on the patients description.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.  <response>: 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. 