Hi, I can understand your concern for pin like pain, itch on right upper back. There can be multiple possibilities of the red rashes and it requires a close physical examination to diagnose the exact entity of the problem. In my view correlating with the facts you have provided it appears to be allergic dermatitis of the area due to multiple causes. In shingles the pain is very severe, present on one side and within 48 hours is followed by blisters. I suggest you to meet a dermatologist to for proper therapy. In between you should avoid contact of dust to the area properly. If I were your dermatologist then presumptively would have preferred to apply fluticasone with mupirocin cream. You can take an antihistamine such as loratadine for twice a day if itching is present. Do not try to pinch, pop or squeeze the area as it may cause secondary infection of the area. All the best