Patient Case: Recurrent Itchy Rash in a Young Adult
A 22-year-old university student presents with a history of recurrent, intensely itchy rashes that have affected her elbows, knees, and neck since childhood. The rash worsens during cold, dry seasons and after prolonged exposure to fragranced soaps or wool clothing. She has a history of asthma and allergic rhinitis.
Over the past month, her symptoms have flared up, with red, dry, and scaly patches appearing on her hands and face. She reports frequent scratching, which sometimes leads to oozing and crusting. Over-the-counter creams provide minimal relief.
On examination, there are erythematous, lichenified plaques on the flexural surfaces of the elbows and knees, as well as dry, excoriated patches on her hands. There are no signs of bacterial infection. A clinical diagnosis of atopic dermatitis is made.
She is advised to avoid known triggers, use fragrance-free emollients regularly, and apply topical corticosteroids during flare-ups. An antihistamine is prescribed for itch relief, and she is educated on maintaining proper skin hydration.
a) Contact dermatitis
b) Psoriasis
c) Atopic dermatitis
d) Seborrheic dermatitis
a) Lesions with silvery scales on extensor surfaces
b) Chronic, itchy rash in flexural areas with a history of asthma
c) Yellow, greasy scales on the scalp and eyebrows
d) Vesicular rash following exposure to an irritant
a) Systemic corticosteroids
b) Antifungal creams
c) Regular emollient use and topical corticosteroids for flare-ups
d) Oral antibiotics
a) Avoiding frequent use of moisturizers to let the skin "breathe"
b) Wearing wool clothing to keep warm in cold weather
c) Using fragrance-free emollients and avoiding harsh soaps
d) Taking long, hot showers to soothe itching
