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Case Nº 037 · Dr. Michael Samycia

EC2Change Case FileAtopic dermatitis

037

A 42-year-old female with moderate disease

  • Special sites: hands

Case byDr. Michael Samycia

1 follow-up visit

At a glanceCase Nº 037

At a glance

A 42-year-old female, moderate atopic dermatitis

ScoreBaselineLatest visit
EASI10—
BSA5%—
IGA3—

In this file

1
The patientCase Nº 037

42

The patient

year-old female,
moderate disease

  • Special-site involvement

Special sites involved: Hands

Previous diagnoses

Eczema, atopic dermatitis,
2
Treatment historyCase Nº 037

Treatment history

What came before

Treatment at presentation

Adtralza

Previous topical therapy

Clobetasol ointment, Protopic 0.1% ointment, Eucrisa, Betaderm 0.1% cream.

Previous systemic therapy

Methotrexate 20 mg po daily x 3 months.

Previous other therapy

Phototherapy many years ago.
3
Disease assessmentCase Nº 037

Disease assessment

Severity at baseline

EASI

Eczema Area and Severity Index

10of 72

BSA

Body surface area

5%of 100%

IGA

Investigator's Global Assessment

3of 4

4
Disease assessmentCase Nº 037

Disease assessment

On the skin

Erythema

  • Red / pink

Thickness

  • Papulation

Lichenification

    Other: Skin thickening.

    Excoriation

    • Bleeding
    5
    Disease assessmentCase Nº 037

    Disease assessment

    How it shaped care

    Impact on treatment selection

    Chose Adtralza because of the ability to use it in special sites.
    I wanted to choose something safe, effective and that would avoid more topical medications.
    Physician goals
    Patients wants to get off creams
    Patient goals
    6
    Treatment selectionCase Nº 037

    Treatment selection

    The plan

    Adtralza

    Treatment goals

    Disease clearance. Avoidance of topical steroids.

    Safety concerns

    Patient wants a safe, effective treatment that does not look efficacy.

    Target scores

    EASI
    0
    from 10
    BSA
    0%
    from 5%
    IGA
    0
    from 3
    DLQI
    0
    7
    Follow-upCase Nº 037

    Follow-up · visit 1 of 1

    6 to 12 months on treatment

    3 months.

    Lesions at this visit

    Erythema
    Lichenification
    Excoriation
    — Improved.

    Symptoms & daily life

    Pruritus
    — Improved.
    Work impairment
    — Improved
    8
    Follow-upCase Nº 037

    Follow-up · visit 1 of 1

    Visit 1, continued

    Treatment plan

    Treatment continued unchanged

    • Patient satisfied
    • Physician satisfied
    9

    A 42-year-old female with moderate atopic dermatitis.

    EC2Change Case File Nº 037

    Contributed by Dr. Michael Samycia. Compiled from the physician’s case-builder submission, in their own words.