It sounds like your persistent skin issues despite long-term treatment need a fresh evaluation to identify the exact cause and adjust management accordingly.

🩺 Next Steps for Persistent Skin Issues

• Re-evaluation by a dermatologist: Schedule a thorough reassessment, possibly including a skin biopsy, to clarify the diagnosis since symptoms have persisted despite antifungal treatment.
• Consider alternative diagnoses: Conditions like eczema, psoriasis, or allergic contact dermatitis could cause similar symptoms and may require different treatments.
• Review treatment use and side effects: Ensure that all prescribed medications and topical products have been used correctly and discuss any side effects or concerns with your doctor.

🧪 Additional Diagnostic Considerations

• Skin scrapings, patch testing, or blood tests might help identify infections, allergies, or inflammatory causes contributing to the symptoms.
• Discuss family history with the dermatologist, as genetic or shared environmental factors could influence both your and your son's skin conditions.

🩺 Specialist Referral

• If needed, your dermatologist may refer you to an immunologist or allergist for further evaluation of possible allergic or immune-related causes.

Please consult your dermatologist promptly to update your diagnosis and treatment plan based on these considerations.