I started taking Tramadol Hcl tabs 50mg after my pacemaker operation. Since Sept. 2013 I have had a red rash with dry peeling skin on my left hand,starting with my left thumb, forefinger index and ring fingers, and is now progressing up my wrist and arm. Anti fungal athlete foot cream and hydrocortisone cream have only dried it out more, but not provided healing. I have a first appointment with a dermatologist on January 29th. I've had MS since 2005, and occasional seizures , most recent was October 2013.