There are two distinct forms of cooperative property: the property of kolkhozes and other cooperative organizations, such as consumer and housing cooperatives, and intercooperative property, which is owned by several kolkhozes or cooperative organizations and represents a higher degree of collectivization.
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A dermatologist would be the best person to start with for an evaluation of not only your fingertips but also the rest of your skin and your health history. You may have other skin findings or symptoms that will help identify what is causing these changes on your hands. In addition to identifying what is causing this, a dermatologist will also be able to recommend the best treatment, whether an oral or topical medication.