50 year old female with history of diverticulitis, asthma, g | Figure 1

50 year old female case

50 year old female with history of diverticulitis, asthma, gerd, eczema and c-diff presents with new onset of rash on only the palms of hands after taking medrol dose pack for dermatitis flare on her arms. Feet pics are chronic but increased pruritus. Any idea what the rash on her hands could be? She has tried:

• betamethasone oint
• urea 40%
• clobatasol cream
• miconazole powder
• terbinafine cream

Hands are very itchy. Thank you for any input.

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Additional References

• Resolved case summary available.