skin help and update

[mkh9]

I had beed diagnosed with eczema on my legs and hands by my FP. I have been using Clobetasol off and on for years a day or two at a time. About a year ago I had a pink band develop that didn't have bumps and didn't itch on my ankels. I put Clobetasol on it and it faded some but didn't go away. I forgot about it because I was dealing with back pain problems and then I got my first bout of rosacea pustules on my face and finally went in to a dermatologist and could only get to a physcian assistant because it takes 2 months to see them here on your initial appointment. The PA thought I had rosacea and I am treated with azaleic acid (Fineacea) as I can't take Doxy. That is working but then he told me to put Clobetasol on the pink band for 7 days then alcometasone for 2 weeks. So I did and then went off the Clobetasol and onto the alcometasone for 5 days then my legs got lots of very itchy bumps and raised areas from my ankles to the lower calf on one leg and the ankle on the other leg. It looked very bad as I had scratched it that night and it was deep red and then a couple days later very swollen (edema). I went back to the PA and he said it could be vasculitis and called in a dermatologist since it was bad. He took no history and didn't look at my chart. On my chart it says I am allergic to many topicals and all antibiotic topicals. He looked for one minute and said i had lipodermatoschlerosis (LDS). I have a BMI of 21 and am 50 years old and don't have champagne bottle legs. He felt the artery and said I had good arterial flow. He told me to wear compression stockings for the rest of my life and walked out. Well I did that and bought a bunch of stockings. Then the legs started peeling really badly and the rash moved up into my thigh area.above the stockings and behind the knees. I then went to my FP doctor and he looked at it and called his dermatologist and he said I defininetly don't have LDS and that it was contact dermatitis. He said to use another steroid (grade 4 middle strength) called Traimcinolone topical ointment and rinse twice a day with epson salts to remove the peeling skin and then put vaseline on the legs at night.I am also taking two antihistamines cyproheptadine (at night) and zyrtec  (daytime) . I also decided to get an ultrasound to see if I have the LDS to rule it out since there are conflicting diagnoses. Now, my question is after 4 days of the new steroid I suddenly got bright red dots on my shins. It is not itching now. I don't have a fever and have not scratched anywhere they just came up. What are these new red dots. They are not raised just very bright red. Am I gettng allergic to the new topical? I am getting worried and it is a weekend. I see the dermatologist and FP on Monday. But in the meantime do I stay on this topical since it isn't bothering me. And, what if it starts spreading more?
thanks for your time,
mkh9

[mkh9]

No I have had lots of general lab tests such as chem panel, Cbc, liver enzymes, lipid panel, iron studies all normal. Haven't been bitten by a tick nor been hiking or anywhere except the sidewalk. I have been tested for lupus but that was in my 20's. It is unusual to get lupus at 50 but not impossible. I had a colonscopy recently and it was negative as well as the upper GI. I don't have colitis or celiac. I certainly am not malnurished. It is too coincidental that they used a high potency steroid that has dermatitis as its side effect and then when I went of I think it is rebound. What I wondering is why it was getting better and then now it is started get more bright red dots. I am irriating it somehow. Food intolerance (allergy) is possible but doesn't it usually cause hives rather than contact dermatitis. I think contact dermatitis is caused by a external think like scents, dyes in clothes, plants etc. I am going to have to switch to natural clothes like 100% cotton or something. My detergent is dye free and perfume free. Oh well.
thanks for your advice.
mkh9

[Caryopteris]

I wonder if it's a tick-borne illness, lupus rash, food intolerance, Celiac disease or colitis.  

In other words, I suspect they have not done labs.  

Celiac disease and colitis can cause skin rashes by causing malnutrition.