I am sorry for your symptoms. From the images I feel that this could be dyshidrotic eczema.
The send image roughness seems to be long standing
Dyshidrosis is a skin condition that causes small, fluid-filled blisters to form on the palms of the hands and sides of the fingers. Sometimes the bottoms of the feet are affected too.
The blisters that occur in dyshidrosis generally last around three weeks and cause intense itching. Once the blisters of dyshidrosis dry, your skin may appear scaly. The blisters typically recur, sometimes before your skin heals completely from the previous blisters.
Treatment for dyshidrosis most often includes creams or ointments that you rub on the affected skin. In severe cases, your doctor may suggest corticosteroid pills, such as prednisone, or injections. Dyshidrosis is also called dyshidrotic eczema and pompholyx.
The blisters are usually small — about the width of a standard pencil lead — and grouped in clusters, with an appearance similar to tapioca.
In more-severe cases, the small blisters may merge to form larger blisters. Skin affected by dyshidrosis can be painful and very itchy. Once the blisters dry and flake off, which occurs in about three weeks, the underlying skin may be red and tender.
Dyshidrosis tends to recur fairly regularly for months or years.
I will outline the general management of dyshidrosis and also suggest you specifically.
Depending on the severity of your signs and symptoms, treatment options may include:
Corticosteroids. High-potency corticosteroid creams and ointments may help speed the disappearance of the blisters. Wrapping the treated area in plastic wrap can improve absorption. Moist compresses also may be applied after the application of a corticosteroid to enhance the absorption of the medication.
In severe cases, your doctor may prescribe corticosteroid pills, such as prednisone. Long-term use of steroids can cause serious side effects.
Phototherapy. If other treatments aren't effective, your doctor may recommend a special kind of light therapy that combines exposure to ultraviolet light with drugs that help make your skin more receptive to the effects of this type of light.
Immune-suppressing ointments. Medications such as tacrolimus (Protopic) and pimecrolimus (Elidel) may be helpful for people who want to limit their exposure to steroids. A side effect of these drugs is an increased risk of skin infections.
Coming to your issue currently -
I suggest -
Tablet Hydroxizine 25mg at 12am/6am/12pm/6pm (Non OTC) (as the itching is severe)
Syrup Benadryl (12.5mg/5ml) 10ml at 3am/9am/3pm/9pm (OTC) (as the itching is severe)
Topical emollients and lotions will help.
Do not apply Calamine lotion as sometimes it may aggravate the situation please.
If this not showing effect in 48 hours you can apply 1% Hydrocortisone cream twice a day for 7 days and the once daily in the morning for another 7 days and then stop it please.
I usually suggest this with excellent results.
I sincerely ***** ***** I have helped you today!
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Kind regards ***** ***** Sumanth Amperayani