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Case Nº 028 · Dr. Irina Turchin

EC2Change Case FileAtopic dermatitis

028

A 47-year-old female with severe disease

  • Special sites: hands

Case byDr. Irina Turchin

1 follow-up visit
2 photographs

At a glanceCase Nº 028

At a glance

A 47-year-old female, severe atopic dermatitis

ScoreBaselineLatest visit
EASI5—
BSA3%—
Itch NRS7—

In this file

1
The patientCase Nº 028

47

The patient

year-old female,
severe disease

  • Special-site involvement

Special sites involved: Hands

Previous diagnoses

Severe chronic hand dermatitis

Comorbidities & context

Anxiety ADHD Atopic dermatitis
2
Treatment historyCase Nº 028

Treatment history

What came before

Treatment at presentation

Tralokinumab

Previous topical therapy

High potency topical steroids, tacrolimus, topical antibiotics

Previous systemic therapy

Prednisone MTX 25mg qd x 1 year
3
Disease assessmentCase Nº 028

Disease assessment

Severity at baseline

EASI

Eczema Area and Severity Index

5of 72

BSA

Body surface area

3%of 100%

Itch NRS

Peak pruritus numerical rating scale

7of 10

4
Disease assessmentCase Nº 028

Disease assessment

On the skin

Erythema

  • Red / pink

Thickness

  • Papulation
5
Disease assessmentCase Nº 028

Baseline photographs

6
Treatment selectionCase Nº 028

Treatment selection

The plan

Tralokinumab

Treatment goals

Clear hands
7
Follow-upCase Nº 028

Follow-up · visit 1 of 1

12 months or more on treatment

12 months

Lesions at this visit

Other
— All clear

Treatment plan

Treatment continued unchanged

  • Patient satisfied
  • Physician satisfied
8

A 47-year-old female with severe atopic dermatitis.

EC2Change Case File Nº 028

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