49-year-old male. No significant past medical history except for childhood eczema and allergic rhinitis. Recently returned from a one-month hiking trip to Australia. Presents for management of severe pruritic eruption that started on his trip. Denies any new cosmetic, plant, or insect exposures.

Currently using diphenhydramine cream for relief of pruritus. Reports development of new lesions since returning from his trip. What could be the possible diagnosis? * This image based case is from Docplexus editorial team for educative purpose only. Source: Dermacases