Conversation: The conversation between human and AI assistant.
[|Human|] I have red blotches on my fingers like a rash that sometimes peels but lately ive been noticing small pimples appearing in the rash. Im 19, I smoke daily, Im a dishwasher. Never had a diagnosis of this but its becoming a problem it itches on occasion but other than that it varies. Ive been applying a OTC steriod cream it has been helping eliviate the rash but not curing it. Im unaware of what causes it to flare up. But i notice sometimes it is hard to make a fist it feels like the skin around the rash is thin and might tear. Any ideas on what this could be or what i should do to fix it? Any help would be appriciated.
[|AI|]  Hi, It may be irritant contact dermatitis most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. The cause of your disease may be detergent which might irritate the skin cause irritant contact dermatitis. So, you must avoid contact with detergent soap. You may take antihistamines like Cetirizine daily to avoid itching. Antibiotic may be taken to prevent secondary bacterial infection. Take oral steroids in tapering dose. Hope I have answered your query. Let me know if I can assist you further.