<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have an itchy patch right at the base of my spine, the skin looks normal and it did not itch while I was away in Greece on holiday, but started again when I came back, it is not constant but seems to occur at random times. Double base cream helps to soothe it.  <response>: Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Perhaps it is either a fungal infection or it could be an eczema patch. A fungal infection is usually a ring shaped peripherally expanding lesion with central clearing and raised, red, scaly margins whereas a chronic eczema patch is Chat Doctor. For a fungal infection I would usually suggest an OTC topical antifungal e.g. clotrimazole 1 cream, whereas for an eczema patch, a moisturizer along with a topical steroid cream would usually work. Apart from specific therapy you may also take an oral antihistamine e.g. cetirizine 10 mg tablet for symptomatic relief. Hope I have answered your Quertle me know if you need any more assistance 