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Case Nº 036 · Dr. Russell Wong

EC2Change Case FileAtopic dermatitis

036

A 35-year-old female with moderate disease

  • Special sites: hands

Case byDr. Russell Wong

1 follow-up visit
1 photograph

At a glanceCase Nº 036

At a glance

A 35-year-old female, moderate atopic dermatitis

ScoreBaselineLatest visit
EASI16—
BSA12%—
IGA0—
DLQI25—

In this file

1
The patientCase Nº 036

35

The patient

year-old female,
moderate disease

  • Special-site involvement

Special sites involved: Hands

Previous diagnoses

Eczema x 15+ years

Comorbidities & context

She is a nurse who performs hand hygiene many times per day.
2
Treatment historyCase Nº 036

Treatment history

What came before

Treatment at presentation

Clobetasol, Eucrisa

Previous topical therapy

Multiple topical steroids including mometasone, betaderm, clobetasol Protopic Eucrisa Oral antihistamines Phototherapy
3
Disease assessmentCase Nº 036

Disease assessment

Severity at baseline

EASI

Eczema Area and Severity Index

16of 72

BSA

Body surface area

12%of 100%

IGA

Investigator's Global Assessment

0of 4

DLQI

Dermatology Life Quality Index

25of 30

4
Disease assessmentCase Nº 036

Disease assessment

On the skin

Erythema

  • Red / pink

Site: FULL BODY, ESP. HANDS

Lichenification

  • Furrowing

Site: HANDS

5
Disease assessmentCase Nº 036

Disease assessment

How it shaped care

Patient feels like she has tried everything over the years and feels "stuck". Wants to be more aggressive regarding treatments.
Patient goals
6
Disease assessmentCase Nº 036

Baseline photographs

7
Treatment selectionCase Nº 036

Treatment selection

The plan

Adtralza

Treatment goals

Clear hands

What drove the choice

Start a systemic treatment as she has exhausted all others

Safety concerns

None

Target scores

DLQI
0
from 25
8
Follow-upCase Nº 036

Follow-up · visit 1 of 1

6 to 12 months on treatment

Followed up at 6 months, body clear but hands still affected. At 1 year follow up all clear!

Lesions at this visit

Lichenification
— Much improved

Treatment plan

Treatment continued unchanged

9

A 35-year-old female with moderate atopic dermatitis.

EC2Change Case File Nº 036

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