<s>[INST] I ve been suffering from swollen legs feet and red rash all over that changes colour to purple,my joints are always tender and my hands wrists and fingers are always very painfull, and recently I have starting having trouble breathing and skin peeling of my toes feet and fingers,just last night I noticed a red blood like blister on the back of my foot and someone that looked like a small black piece of soot fell out I ve been to my local drs on a regular basis but they don t seem to do anything or seem interested [/INST] Hi, Sorry to hear about your condition but from the report that you have given I can briefly I say it's a case of Psoriasis arthritis. In this condition there is Psoriasis of skin, multiple joint pain especially the fingers and toes and restlessness. The treatment is mainly related to the symptoms that show up. For this you need to visit a Rheumatologist. However, I would suggest you to talk to him about a new line of treatment called biologics that has stood helpful in treating such genetic conditions. Hope I have answered your query. Let me know if I can assist you further.   </s>