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White Dots and Broken Skin

I have these white dots on my wrist, fingers, between the thumb and forefinger on both the hands. I also got this broken skin like scales on the palm side of the thumb. This is slightly itchy and I have been applying anti-fungal cream for almost 6 months now and there is no improvement. Had this white dots for  years but this is spreading a lot in last few months. Got them on elbow as well. Please see the attached pictures.
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