Conversation: The conversation between human and AI assistant.
[|Human|] My daughter has an area on her left hand between the index finger and the next finger.  It started out as a rash almost like a burn, and has turned into a thickened area right underneath those two fingers on the palm, that have split, broken open and are oozing a yellow liquid.  Also the fingers are oozing. The dermatologist was treating it as psoriasis, but has changed his mind and treating it like a fungus.  They originally put her on PNVK (pcn) and then lamictal.  The pcn worked where as the lamictal has done nothing.  We go back 10-3-2013 to see the dermatologist.  Should we see a specialist of some sort.
[|AI|]  Hi and thanks for the query, Due to recurrence of the infection and the age of the child, I think it is advisable to get the exact causative agent and treat. This shall be cheaper and also avoid any chronic infection, spread or complications.  Samples from this area sent to the laboratory for culture and sensitivity tests could be the best thing to do. The opinion of a dermatologist of a capital issue in this case. From a simple physical examination, examination of these patches or affected area under a lens and results from the laboratory, in my opinion, are main gateways for appropriate diagnosis and treatment. I suggest you book an appointment with a dermatologist. Thanks and kind regards. Bain LE, MD