I have a patchy bumpy rash on arms with some white heades small

Thanks for the pictures. The rash could be one of a few things - 1. Psoriasis 2. Asteatotic Eczema 3. Tinea Incognito ; Now I first do a KOH scraping examination of patients presenting with your condition just to be sure that it is not a fungal infection (Tinea), as this can mimic the first two conditions I listed, responds to steroids (Fluocinonide) only to recur with a vengeance on stopping treatment since the steroid only decreases inflammation allowing the fungus to spread. Since you can't see a dermatologist for a few weeks, here is what I would recommend:
1. Apply a good moiturizer (e.g. Jergens Naturals Ultra Hydrating Daily Moisturizer) four times a day to the entire arm.
2. Stop using soap for bathing - instead use a soap free body wash (e.g. Nivea for Men Sensitive Body Wash Soap-Free)
3. Miconazole Nitrate, 30gm cream (Micatin cream) - apply twice a day on the rash (after moisturizing)
4. Tab Benadryl one morning and evening
5. Omega-3 fatty acid capsules twice a day after meals

All of these are available OTC as well as online. If there is no significant improvement in 7 days, fungal infection has been ruled out. You can then safely substitute step 3 with the Fluocinonide USP 0.05% cream that you have, twice a day, till you see your dermatologist. Continue with all the other measures I've advised.

Expert:	Dr Nair
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Dermatologist

MBBS, MD (Dermatology, Venereology & Leprology)

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