Im a 40yr.old female that started breaking out like a teenager! Its normal for me to get a couple blemishes right before my menstrual cycle, as a teen i suffered from breakouts in the same manner. In the last yr its worse than its ever been. These are huge pimples, very painfull, and seem to take forever to heal. They almost seem like they are spreading. Most of my chin area is affected. Ive also been feeling a sensation like something is moving inside my nostrils. I have an increase in eye boogers. The worst is my fingernails and skin on tips of fingers. My nails used to be nice. Now they are paper thin, dont grow, and seem to have a buildup of extra skin along cuticle, edge, and under fingernail. I work in a nursing home and I bartend. So my hands are constantly being washed, using sanitizer, or in latex gloves. My fingers feel really tight in the morn. my fingertips are painful, tight, and as a result dont have much strength. I remember towards the end of summer a patch of scaley skin and a few raised bumps on my outer thigh that itched showed up. Since then I have spiratic bumps on other areas of my body. Most recent, Ive been experiencing white specs on my labias when I  wipe after going to the bathroom. I thought this was due to using cheap toilet paper.  But now my labias seem a little red and raw. Again i thought i may have caused these raw areas from masturbating. I also have had a cough for it seems like a couple months now which produces alot of thick phlegm. The skin on my feet seems to be affected, i used to have nice feet, now they look all callused on my heels, the outside edge of my big toe and around other toes the skin is thicker and callused also. I also notice a tender spot that is also sore to the touch on on left side of abdomen below my belly button. My scalp, back, chest, and even myandveyelashes eyelashes seem to be affected. This is driving me crazy. I thought it was just a reaction to something and that it would clear up, but it seems to be getting worse.. Does all this sound like something anybody has heard of?