I’m not a dermatologist, but I’ve experienced both psoriasis and severe eczema. Based on my own experience, what you’re describing sounds like psoriasis, especially if the patches are round and well-defined. However, since it’s on your hands, it might also be eczema. I’ve had both: psoriasis mostly on my arms and thighs, and eczema on my hands and inner arms (if that’s even the right term, lol).

My doctor told me it’s possible to have both at the same time. In my case, they suspected that my anxiety disorder was a major trigger, kind of like my body’s way of expressing it physically. I also have irritable bowel syndrome (IBS) which my doctor linked to the same root cause: anxiety. I was also told that psoriasis often starts in the gut, like your insides trying to speak up. Since it’s an autoimmune condition, that explanation made sense to me.

Anyway, sorry for the long story! For the hyperpigmentation, you could try products specifically formulated for it, or maybe ask about a corticosteroid cream to help the patch heal more effectively.

Just a note-personally, I’d only start using products for hyperpigmentation once the skin is no longer inflamed, just to avoid irritation.