Pediatric Dermatology Case Study: Evaluation of Itchy Skin in a
13-Year-Old Girl
Comprehensive Pediatric Case Study
1. Patient Demographics & Identifying Data
• Initials: A.S.
• Name: Alicia Smiley
• Age: 13 years
• Gender: Female
• Ethnicity: Hispanic
• Height: 5'2" (157 cm)
, • Weight: 104 lb (47.3 kg)
• Occupation: Seventh-grade student
• Living Situation: Lives with her mother, stepfather, and
two younger siblings in an apartment. No pets. No smokers
in the home.
• Source of Information: Patient and mother; both are
reliable historians.
2. Chief Complaint (CC)
"I've had an itchy rash on my arms and neck that keeps getting
worse."
3. History of Present Illness (HPI) – OLD CARTS
Onset
The rash began approximately 5 days ago, two days after using
a new scented body wash and laundry detergent.
Location
Initially appeared on the neck and upper chest, then spread to
the forearms and behind both knees.
Duration
, The itching is constant throughout the day and worsens during
the evening.
Characteristics
Patient describes the rash as red, itchy, and burning, with
occasional scratching causing small scabs.
Aggravating Factors
• Hot showers
• Sweating
• Wearing wool clothing
• Applying scented lotions
Relieving Factors
• Cool compresses
• Moisturizing cream
• Loose cotton clothing
Treatment
Mother applied over-the-counter aloe vera gel and fragrance-
free moisturizer with only mild improvement. No prescription
medications have been used.
Severity
6/10 during the day and 8/10 at night.
13-Year-Old Girl
Comprehensive Pediatric Case Study
1. Patient Demographics & Identifying Data
• Initials: A.S.
• Name: Alicia Smiley
• Age: 13 years
• Gender: Female
• Ethnicity: Hispanic
• Height: 5'2" (157 cm)
, • Weight: 104 lb (47.3 kg)
• Occupation: Seventh-grade student
• Living Situation: Lives with her mother, stepfather, and
two younger siblings in an apartment. No pets. No smokers
in the home.
• Source of Information: Patient and mother; both are
reliable historians.
2. Chief Complaint (CC)
"I've had an itchy rash on my arms and neck that keeps getting
worse."
3. History of Present Illness (HPI) – OLD CARTS
Onset
The rash began approximately 5 days ago, two days after using
a new scented body wash and laundry detergent.
Location
Initially appeared on the neck and upper chest, then spread to
the forearms and behind both knees.
Duration
, The itching is constant throughout the day and worsens during
the evening.
Characteristics
Patient describes the rash as red, itchy, and burning, with
occasional scratching causing small scabs.
Aggravating Factors
• Hot showers
• Sweating
• Wearing wool clothing
• Applying scented lotions
Relieving Factors
• Cool compresses
• Moisturizing cream
• Loose cotton clothing
Treatment
Mother applied over-the-counter aloe vera gel and fragrance-
free moisturizer with only mild improvement. No prescription
medications have been used.
Severity
6/10 during the day and 8/10 at night.
