instruction: hi doctor for about two years I have constant problems with my hand skin there are spots on my hand where my skin gets extremely dry to the point where it peels sometimes even cracks and bleeds it regenerates quite quickly even deeper wounds heal in three to five days I consulted several dermatologists here is what I was able to confirm so far it is not a fungal or bacterial infection it may be a blood vessel problem smoking tobacco seems to make symptoms more severe more peeling and cracking the problem occurs only in few places on my hands mainly index fingers and right thumb please see attached photo cream with urea content seems to give the best effects barrier creams did not help diet does not seem to have a noticeable impact on my condition silica q10 and collagen supplementation did not help sometimes when my condition gets a little better and there is no dried peeled of skin on my hands small red dots are visible just under the skin one of the doctors mentioned they look like burst blood vessels they are visible in one of the attached photos please suggest
output: hi from the pictures it is looking like hyperkeratotic eczema over palms it is a kind of dermatitis and not related with any blood vessels it can aggravate during winter seasons treatment includes judicious use of moisturizer and along with mild potent steroid in case of any erythema apply moisture cream on the whole palms twice to thrice daily apply halovate habbetasol propionate cream apply only on the erythematous or fissure areas if any daily night for one month