Pictures would really help. If you could send them here by clicking on the paper clip icon and uploading it would be definitely appreciated.
This is what we would call a psoriasiform dermatitis. In other words it kind of looks like psoriasis, and probably is, but does not have enough of the characteristics of it to be sure. In fact, I would develop places exactly like this until my skin went wild and told me I had psoriasis. The best OTC treatment would be MG 217 applied once a day and Maximjm Strength Cortaid OIntment. Take Omega 3 fatty acids, 1000 mg twice a day and Vitamin D3 2000 a day. If this does not help, you should see a physician for stronger treatment.
Happy to answer further questions or make clarifications.
Thank you for the information. I will go to the store first thing tomorrow to get everything. I do have one more question. I've been searching the internet for days trying to figure out what I had. None of the pictures I saw looked anything like it. But, my search terms did come up with a variety of terrifying causes - ringworm, bed bugs, flea bites, scabies, excema, etc. etc. My question is - how confident are you in this diagnosis (70%, 80%, 90%)? I know nothing is 100% guaranteed, but I just want to feel confident that I don't have anything contagious.
That is a great question actually and in some ways maybe we physicians should be asked that more often. Realize we start from 99% and never 100% though. I would say about 80% with the hand issue. This might also be something called small plaque parapsoriasis without it. I can not absolutely rule out a fungus ( ringworm) without doing a KOH scarping of the skin, but I really do not think it is that. It is not bed bugs, flea bits, scabies ( remote), eczema, or skin cancer.
Thank you for your honesty. I'm sorry, but now I have 2 more questions. #1 - If your diagnosis is correct, and I start the treatments tomorrow, how soon should I expect to see improvement? #2 - I would like to hit the Accept button so you get payment, but does that close our conversation? (Just worried if I hit Accept and then think of another question I won't be able to get back in touch with you.)
You may need a stronger steroid such as Fluocinonide ointment twice a day which is a prescription item. It would take about a week. If you improve but not have resolution of your problem, then the diagnosis is probably the correct one. You can continue to ask questions after an ACCEPT for a week without an additional fee.