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Hey Primrose, that doesnt sound good at all.  Has your doctor said anything about an allergy you may have? The white/scaly almost sounds like some sort of dermatitis and could be caused by detergent/certain materials/something in your diet.... it's hard to know?   It sounds like your skin's barrier has been damaged/removed somehow and isn't working at all -  hence why you can live in a tropical climate and still experience dry skin and the constant need for mositure.

 

Also the blackheads and blemishes will still happen as they are normally caused from within - the oil mixing with dead skin cells etc.

 

My first aim would be repairing your skin's barrier - perhaps experimenting with diet to see if cutting out certain things help. Using a specific barrier cream can help. Dermalogica do a good one, cant remember it's exact name, but it's like a silky gel and does work to repair your skin.

 

Of course, i cant see your skin and only going from what you've said, but i hope you can find a bit of help in my answer.  All the best, and keep hope as there is always a cause for skin problems that can be solved, it's just a bit of experimenting to find what that is.

 

Find the cause while treating the symptoms.