###Human: I have hard skin patches in hands and feet for more than 10 years. Kindly help. ###Assistant: Hello. It indeed looks like an insect bite hypersensitivity reaction, also known as papular urticaria (attachment removed to protect patient identity). The best way to manage this is protection from insect and mosquito bite. Use repellents, or liquid mosquito vaporizers, or full sleeve clothes and mosquito nets, etc. As this is not always possible, you need to take medications also. Continue using Mometasone furoate cream and take these tablets. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Tablet Dapsone 100 mg once a day. 2. Tablet Teczine M 10 mg (Levocetirizine, Montelukast) once at night. Get G6PD test (glucose-6-phosphate dehydrogenase) done before starting Dapsone once.