Skill Checkup: A 32-Year-Old Man With History of Atopic Dermatitis Presents With Worsening Itch

Diamant Thaçi, MD, PhD


April 14, 2022

The Skill Checkup series provides a quick, case-style interactive quiz, highlighting key guideline- and evidence-based information to inform clinical practice.

A 32-year-old White man, an accountant, presents with a 4-year history of atopic dermatitis (AD). He has controlled the AD with daily baths, emollients, and topical corticosteroids. In the past 6 months, he has had worsening of symptoms, especially itch. About 12% of body surface area (BSA) is affected. Also, he has had mild asthma since his teens, controlled with inhaled corticosteroids.

He has done his best to identify and minimize triggers, but the AD has worsened. It was previously confined to his knees and arms, but now it also affects his hands, making his work more difficult.


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