Papular urticaria is a common skin condition often triggered by insect bites or other allergens. Patients will develop red papules on the skin, accompanied by severe itching. In your case, the symptoms are mainly concentrated on the forearms and have been recurring for about two years. Here are some treatment and care recommendations: 1. **Oral Antihistamines**: You can take Loratadine tablets (Claritin) to relieve allergic symptoms. Loratadine is an over-the-counter antihistamine, usually taken once a day. 2. **Topical Medications**: Use Mometasone Furoate Cream (Elocon) on the affected areas. This is a potent topical steroid that can effectively reduce inflammation and itching. 3. **Avoid Scratching**: Try not to scratch the affected areas to prevent skin damage and infection. 4. **Identify Allergens**: Try to identify possible allergens and avoid contact. For instance, if insect bites are the cause, use insect repellent during outdoor activities. 5. **Keep Skin Clean and Dry**: Regularly clean and keep the affected areas dry to prevent further infection. If symptoms do not improve or worsen, it is advisable to visit a dermatologist for a thorough examination and treatment. **Note**: Please use medications under the guidance of a doctor, especially topical steroids, to avoid long-term or excessive use.