{"knowledge_schema": {"broad_category": "Medicine \u2192 Dermatology \u2192 Skin Conditions", "refinement": "This case involves a patient with a rash and intense itching, specifically in the axillary region, with a suspected diagnosis of allergic contact dermatitis.", "specific_scope": "The focus is on determining the best next step in the diagnostic process for a patient with suspected textile contact dermatitis, following a clinical examination and initial assessment.", "goal": "To confirm the diagnosis of allergic contact dermatitis through appropriate testing."}, "summary": "In this case, the patient presents with a rash consistent with allergic contact dermatitis, particularly due to clothing. The best next step in diagnosis is to perform a patch test, which is specifically designed to identify allergens causing contact dermatitis. This will help confirm the diagnosis and guide further management."}