She came to our clinic again approximately 2 weeks later with severe itching and rash on her neck, face, and arms, which started after working at her workplace. I wrote a letter to the manager advising him to remove her briefly from her current site of work and taken to a different department. She returned a week later to her original work site, and the rash and itchiness returned. She responded to histamine H1-receptor antagonist, 10 mg daily, and an emollient-skin protectant (Cream). She requested a leave of absence for 3 or 4 days.