I am sorry to note your current state and the condition you describe (briefly) 'tired all the time, itch, hives' is urticaria
. In your case, you may have an autoimmune component to this that would explain the joint pain, and athritis/synovitis
What did the punch biopsy
If it showed possible vasculitis
, then this is urticaria vasculitis and you will need low-dose immunosuppressants for 3-6 months which should control things.
The choice of immunosuppressants would depend how badly it is affecting you now, and there are several of these drugs.
A copy of the results would have been helpful and your Allergist/Immunologist should be the first ones to deal with this.