Psoriasis or fungal?

[jollom]

I have had an on going battle with a skin problem for the past few years.  I have seen at least 8 different doctors and only one has said it might be considered psoriasis.  I just recently went to another doctor today that is giving me blood work and gave me nystatin and triamcinolone acetonide cream.  The problems are on my foot, thumb, starting on my fingers by my nails and now under my rings.  The skin is very itchy and on my hands it is white patches that sort of looks like a bad dry skin.  On the bottom of my feet it is scales and cracking.  Has anyone else been in my situation or have any advice?  I am so sick of not finding a diagnosis!

[jollom]

The cream she gave me is making it itch so much worse! i felt more comfortable just useing vaseline.  Why do they think its fungal?  I just dont understand why no doctor has gave me a biopsy yet?  I am so sick of this!!! And what is the blood work going to confirm? Thanks for your help!

[Bhupinder Kaur, MD]

Hello,
I cannot confirm anything without examination but it can be eczema or psoriasis.

Eczema is a form of chronic dermatitis (rash).Allergic reaction is one of the important causes of eczema. Psoriasis is a long-term (chronic) skin problem that causes skin cells to grow too quickly, resulting in thick, white, silvery, or red patches of skin.

Exactly what it is can be confirmed only after biopsy of the skin.So I would suggest you to get a skin biopsy done.Treatment is diagnosis specific.

I hope it helps.Take care and pls do keep me posted on how you are doing or in case you have any additional doubts.Kind regards.