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Case Nº 051 · Dr. Shanna Spring

EC2Change Case FileAtopic dermatitis

051

A 17-year-old female with moderate disease

  • Special sites: hands

Case byDr. Shanna Spring

1 follow-up visit

At a glanceCase Nº 051

At a glance

A 17-year-old female, moderate atopic dermatitis

ScoreBaselineLatest visit
EASI18—
BSA14%—
IGA3—
DLQI28—

In this file

1
The patientCase Nº 051

17

The patient

year-old female,
moderate disease

  • Special-site involvement

Special sites involved: Hands

Previous diagnoses

anxiety atopic dermatitis
2
Treatment historyCase Nº 051

Treatment history

What came before

Treatment at presentation

tralokinumab and clobetasol

Previous topical therapy

clobetasol was not a good longterm strategy she had tried phototherapy once 5 yrs ago but not able to do it again due to new job
3
Disease assessmentCase Nº 051

Disease assessment

Severity at baseline

EASI

Eczema Area and Severity Index

18of 72

BSA

Body surface area

14%of 100%

IGA

Investigator's Global Assessment

3of 4

DLQI

Dermatology Life Quality Index

28of 30

4
Disease assessmentCase Nº 051

Disease assessment

On the skin

Erythema

  • Red / pink

Lichenification

    Other: cracks in hands

    5
    Disease assessmentCase Nº 051

    Disease assessment

    How it shaped care

    Impact on severity rating

    special site involvement may not always be captured by EASI score
    patient was a chef and used her hands a lot
    Patient goals
    6
    Treatment selectionCase Nº 051

    Treatment selection

    The plan

    tralokinumab

    Treatment goals

    decrease in pruritus patient is happy

    What drove the choice

    patient hesitant to use any systemic meds with SE

    Safety concerns

    patient is done having kids but was a consideration for her in the past
    7
    Treatment selectionCase Nº 051

    Treatment selection

    The plan, continued

    Target scores

    IGA
    1
    from 3
    DLQI
    8
    from 28
    8
    Follow-upCase Nº 051

    Follow-up · visit 1 of 1

    Under 6 months on treatment

    4 mo

    Lesions at this visit

    Lichenification
    — improved, less cracking in hands

    Symptoms & daily life

    Pruritus
    — much improved

    Treatment plan

    Treatment continued unchanged

    • Patient satisfied
    9

    A 17-year-old female with moderate atopic dermatitis.

    EC2Change Case File Nº 051

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