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Case Nº 032 · Dr. Jaggi Rao

EC2Change Case FileAtopic dermatitis

032

A 18-year-old female with severe disease

  • Skin of colour

Case byDr. Jaggi Rao

0 follow-up visits

At a glanceCase Nº 032

At a glance

A 18-year-old female, severe atopic dermatitis

ScoreBaselineLatest visit
EASI22—
BSA12%—
Itch NRS8—
IGA4—
DLQI20—

In this file

1
The patientCase Nº 032

18

The patient

year-old female,
severe disease

  • Skin of colour

Race / ethnicity

Aboriginal

Fitzpatrick skin type

V

Previous diagnoses

Environmental allergies to pollen, grass and moulds

Comorbidities & context

Environmental allergies and drug allergy (Penicillin)
2
Treatment historyCase Nº 032

Treatment history

What came before

Treatment at presentation

Topical: Betamethasone valerate 0.1% ointment PRN Systemic: MTX PRN

Previous systemic therapy

MTX 25 mg/week x 3 months
3
Disease assessmentCase Nº 032

Disease assessment

Severity at baseline

EASI

Eczema Area and Severity Index

22of 72

BSA

Body surface area

12%of 100%

Itch NRS

Peak pruritus numerical rating scale

8of 10

IGA

Investigator's Global Assessment

4of 4

DLQI

Dermatology Life Quality Index

20of 30

4
Disease assessmentCase Nº 032

Disease assessment

On the skin

Erythema

  • Red / pink

Thickness

    Site: Poorly-demarcated, dry, scaly, red, itchy plaques.

    Lichenification

      Excoriation

        Pigmentary changes

        • Post-inflammatory hyperpigmentation
        5
        Disease assessmentCase Nº 032

        Disease assessment

        How it shaped care

        Impact on diagnosis

        Affecting most aspects of her quality of life.
        6

        A 18-year-old female with severe atopic dermatitis.

        EC2Change Case File Nº 032

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