Skill Checkup: An 11-Year-Old Girl With Severe Nighttime Itchiness

Diamant Thaçi, MD, PhD


April 14, 2022

Involvement of ≥ 10% BSA is one of the key features of moderate to severe AD. However, there are other determinants of severity that may take precedence regardless of the extent of BSA involved. If the lesions are in areas that are highly visible or important for function (soles, palms, neck, and face), the disease may still be considered moderate to severe even if involved BSA is < 10%; the same applies to severe itch and significantly reduced quality of life (interference with sleep or daily activities). On the basis of any of these criteria, the girl described above has moderate to severe AD.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.