Skin rash , spider bite or infection? I noticed

Patient : Skin rash , spider bite or infection? I noticed it on my left leg on the left side of my knee. It itches pretty bad but not painful . I have been using Triamcinolone Acetonide Cream USP 0.1% . It has not noticeably spread but I now have a few irregular small bumps on the inner crease of my elbow above my forearm.
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