hi. It could be dyshidrotic eczema
, inflammtory tinea Mannum
or simply keratolysis exfoliativa.
Get a KOH scraping from the scale which will help confirm or rule out tinea Mannum.
>If KOH come negative it seems most likely to be either Dyshidrotic eczema or keratolysis exfoliativa.
>If KOH is positive then apply antifungal creams like clotrimzole, ketoconazole
or luliconazole for 4 weeks and also take oral fluconazole
once every week for 4-6 weeks.
Treatment of both conditions is somewhat similar. Use a moisturising cream mixed with a moderately potent steroid like mometasone and apply twice daily for 2 weeks. Avoid using excessive soaps.