Thank you all.
Lots of suggestions on here so let me address all of them. First, I am certain it is not a fungal infection. It responds to steroidal creams and my dermatologist ruled this one out early on. Second, It is not Psoriasis as the symptoms are all wrong - no scaly rash. Third, is doesn't look or act like Eczema according to the dermatologist. Fourth, he thought it might be Dermatitis Herpetiformis but the bioposy was negative for that.
I am going to see him again in 2 weeks and will see if he has any other thoughts or diagnostics. I'll report back.
Ross