<s>[INST] Hi, Three fingers on my left hand (thumb, middle and ring) are extremely dry, leathery looking and also painful. This is going on for about three months. I was advised by a doctor to use AmLactin cream but I do not have much luck. Please, help! Thanks. [/INST] Hello. Thanks for writing to us at Chat Doctor This condition is due to extreme Chat Doctor.  This is a cumulative condition that is further exacerbated by wet work, soaps, detergents etc. and therefore also known as chronic cumulative irritant contact dermatitis. Individuals engaged in a lot of wet work e.g. housewives and food handlers are prone to develop this condition. The condition is more common in topics; those who already have an underlying  </s>