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Case Nº 015 · Dr. Marni Wiseman

EC2Change Case FileAtopic dermatitis

015

A 45-year-old male with moderate disease

  • Special sites: hands, head

Case byDr. Marni Wiseman

1 follow-up visit

At a glanceCase Nº 015

At a glance

A 45-year-old male, moderate atopic dermatitis

ScoreBaselineLatest visit
EASI17—
BSA17%4%
DLQI91

In this file

1
The patientCase Nº 015

45

The patient

year-old male,
moderate disease

  • Special-site involvement

Special sites involved: Hands, Head

Previous diagnoses

nil

Comorbidities & context

nothing
2
Treatment historyCase Nº 015

Treatment history

What came before

Treatment at presentation

protopic and very occasional clobetasol

Previous topical therapy

Recorded, no detail given

Previous other therapy

NB UVB
3
Disease assessmentCase Nº 015

Disease assessment

Severity at baseline

EASI

Eczema Area and Severity Index

17of 72

BSA

Body surface area

17%of 100%

DLQI

Dermatology Life Quality Index

9of 30

4
Disease assessmentCase Nº 015

Disease assessment

On the skin

Erythema

    Site: ++ forehead and periocular

    Lichenification

    • Furrowing

    Site: forehead and periocular

    5
    Disease assessmentCase Nº 015

    Disease assessment

    How it shaped care

    Impact on treatment selection

    hockey player and +++ pruritu impacted on ability to play
    6
    Treatment selectionCase Nº 015

    Treatment selection

    The plan

    Tralokinumab

    Treatment goals

    Discuss improving itch and ability to play hockey with more comfort

    What drove the choice

    hesitant to start treatment- may discussionsa with family

    Safety concerns

    none
    7
    Follow-upCase Nº 015

    Follow-up · visit 1 of 1

    6 to 12 months on treatment

    9 mo

    BSA

    Body surface area

    4%of 100%

    −13 vs baseline of 17

    Itch NRS

    Peak pruritus numerical rating scale

    1of 10

    DLQI

    Dermatology Life Quality Index

    1of 30

    −8 vs baseline of 9

    Lesions at this visit

    Erythema
    — pink
    Lichenification
    — much less
    8
    Follow-upCase Nº 015

    Follow-up · visit 1 of 1

    Visit 1, continued

    Symptoms & daily life

    Impaired social function
    — able to play hockey with much more comfort

    Treatment plan

    Treatment continued unchanged

    • Patient satisfied
    9
    OutcomesCase Nº 015

    Outcomes

    Scores over time

    BSA020Baseline: BSA 17%17%V1: BSA 4%4%BaselineV1DLQI010Baseline: DLQI 99V1: DLQI 11BaselineV1

    V = follow-up visit. Each scale starts at zero.

    10

    A 45-year-old male with moderate atopic dermatitis.

    EC2Change Case File Nº 015

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