<s>[INST] I have an issue with raised bumps on backs of my arms and they seem to be spreading from upper arms to my lower arms. Scaly elbows bumps are firm to touch. Family practioner recommended Eucerin cream but bumps are not gone and as I sated seem to be spreading down back of arms. They itched initially but now do not. [/INST] Hi, happy to help you on your health concern on part of Chat Doctor! In the present case I must say that there is some serious kind of skin problem that must be confirmed by biopsy rather that any assumptive therapy! Please have a skin biopsy under local anesthesia and once the report is available revert to us. Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health! </s>