2 months is a long time to have a rash
that is unresolved. I am not too clear if steroid is the way forward especially if you ar hypothyroid on medications & ESR is raised. The latter usually suggests a long term inflammatory state & one must consider chronic infections, hence steroids
should be stopped completely for two weeks.
After 2 weeks, please visit a dermatologist
nearest you with all available reports & opt for a skin biopsy
& histopathology & this will hopefully give us a better clue to deal with your rash.
From your description, photosensitivity
seems to be an issue. Please do consider getting an LE cells, ds DNA test done & perhaps immunofluorescent studies along with the regular skin biopsy.
Good luck & here's to a clear skin soon!
Dr Praveen Rodrigues MD
Dermatologist, Cosmetologist, Venereologist
Vikram Hospital, Bangalore.