Left foot only. Started 2017. Lesions occur once per year. P | Figure 1

Left foot only. Started 2017. Lesions occur once per year. Previous treatment oral and topical antifungal over the years. Says the hot weather brings about the lesions. No other areas of the body affected.

Ddx dyshidrotic eczema? Sandals contact dermatitis?

Please assist with diagnosis and treatment.

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