Your symptoms suggest a localised chronic dermatitis, such as dyshidrotic eczema or contact allergy. While your current cream temporarily reduces inflammation, long-term use of strong steroids like clobetasol on the thumb can thin the skin and cause rebound symptoms. For a safer, long-term management plan, a dermatologist may recommend: Topical calcineurin inhibitors (such as tacrolimus ointment), which are steroid-free and safe for long-term maintenance. Patch testing to identify and avoid specific allergen triggers. Frequent use of thick, fragrance-free barrier repair emollients. Please consult a doctor for a proper diagnosis and a safe plan to taper off your current steroid cream.