Well, that didn't take long. My dermatologist tells me I have psoriasis, or maybe atopic dermatitis. Common suffers are babies, children or adults. It effects mostly the face, scalp, arms, legs, hands, and/or feet. The cause is genetic and/or environmental. Thanks a lot Doc! Why not just cut the bullshit, and say "In my professional opinion your fingers are fucked up. Put some of this grease on 'em" I was given a prescription for Taclonex, and a handful of samples. It's a corticosteroid, vitamin D, and 99% petroleum jelly. My insurance company laughed at my request to have it filled. Cost: $425/20g I'll do the math for you: 18% greater than gold by weight (as of last week.) BTW: If you need additional evidence that most pharmaceutical reps are aging frat-boy douche-bags check out the level of discourse on the (CafePharma)[http://cafepharma.com/] forums. I've been using the samples... After three weeks I'd say it might be more effective than petroleum jelly by itself. The tips of 5 of my 10 fingers are split open to reveal the red juicy bits. It's been getting progressively worse over the last two years. (At least both of my pinkies are symptom free!) Next appointment Tuesday. Maybe I'll get a better form of snake oil. Whine.