I have a rash on bilateral wrist, palms, feet ,ankles and sparsely spreading to calves. I have tried multiple OTC steroid,fungal and benadryl creams/ointments.Rx s include betamethasone variances, steroids including class 4.At the same time this rash occurred..cystic acne evolved. Clindamyacin gel and trentoin gel.Biopsy of rash stated compatible with Lichens Planus and facial was not biopsied but said to be hormonal cystic acne.all treatments including high dose oral prednisone titration have failed. RA blood tests negative.