Pinpoint rashes persisting for over a year without systemic symptoms and not responding to steroids may indicate a non-allergic, possibly vascular or hematological cause. Since steroids have shown no improvement, this is unlikely to be an allergic or autoimmune rash.
Next Steps
I recommend consultation with a pediatric dermatologist and a pediatrician to rule out underlying cause. clinical examination is necessary
Health Tips
Avoid applying any over-the-counter creams without medical advice. Do not repeat steroid therapy unless prescribed after specialist evaluation. If any new symptoms develop like fever, bruising, or bleeding, seek urgent care