Patient Case: Chronic Itchy Rash in a Young Adult from Sub-Saharan Africa
A 24-year-old male presents with a six-month history of an intensely itchy rash affecting the flexural areas of his elbows and knees. The rash initially started as dry, scaly patches and gradually progressed to red, thickened plaques with occasional oozing and crusting due to frequent scratching. He reports a family history of similar skin conditions and has experienced episodes of asthma in childhood.
His symptoms worsen during hot, humid weather and after using fragranced soaps. He has not used any new medications or foods recently. Over-the-counter creams provide temporary relief but do not prevent recurrence.
On examination, there are erythematous, lichenified plaques on the antecubital and popliteal fossae, with evidence of excoriations. No vesicles or active infection are noted. A clinical diagnosis of atopic dermatitis is made.
The patient is advised to use fragrance-free moisturizers, avoid irritants, and apply topical corticosteroids during flare-ups. He is also counseled on gentle skin care practices and prescribed an antihistamine for symptom relief.
a) Contact dermatitis
b) Psoriasis
c) Atopic dermatitis
d) Seborrheic dermatitis
a) Exposure to harsh chemicals at work
b) Family history of allergic diseases
c) Vitamin D deficiency
d) Fungal infections
a) Topical corticosteroids and moisturizers
b) Systemic antibiotics
c) Oral corticosteroids as a long-term solution
d) Antifungal creams
a) Using fragrance-free moisturizers regularly
b) Avoiding all protein-rich foods
c) Taking long hot showers frequently
d) Using antiseptic soaps daily
