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Have had a bumpy rash on my arms

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Have had a bumpy rash on my arms for the last 10 years, in the summer it is really embarassing and I have to keep my arms covered up, however I work in an office and it is very hot and I want to wear short sleve tops but my arms look awful, any suggestions on how I can get rid of it? I've tried tons of oils, creams, gels and nothing has worked?