iHuman Case Study: Alicia Smiley, 13-Year-Old
with Itchy Skin
Comprehensive Exam Study Guide Graded A+
2026
,
, iHuman Case
I. CASE OVERVIEW
Patient: Alicia Smiley
Age: 13 years
Reason for Encounter: Itchy skin (pruritus)
Chief Complaint: "My skin is so itchy, and I can't stop scratching. It keeps me up at night."
Key Facts:
Alicia is a 13-year-old female presenting with generalized pruritus
Itching is significantly impacting sleep and daily functioning
No reported fever or systemic symptoms at presentation
This presentation is highly suggestive of Atopic Dermatitis (Eczema) , the most common cause of
pruritus in children and adolescents
II. COMPREHENSIVE HISTORY
A. History of Presenting Illness (HPI)
Onset and Duration:
When did the itching start? (Acute vs. chronic)
Was onset sudden or gradual?
Duration: weeks, months, or years?
Character of Itch:
with Itchy Skin
Comprehensive Exam Study Guide Graded A+
2026
,
, iHuman Case
I. CASE OVERVIEW
Patient: Alicia Smiley
Age: 13 years
Reason for Encounter: Itchy skin (pruritus)
Chief Complaint: "My skin is so itchy, and I can't stop scratching. It keeps me up at night."
Key Facts:
Alicia is a 13-year-old female presenting with generalized pruritus
Itching is significantly impacting sleep and daily functioning
No reported fever or systemic symptoms at presentation
This presentation is highly suggestive of Atopic Dermatitis (Eczema) , the most common cause of
pruritus in children and adolescents
II. COMPREHENSIVE HISTORY
A. History of Presenting Illness (HPI)
Onset and Duration:
When did the itching start? (Acute vs. chronic)
Was onset sudden or gradual?
Duration: weeks, months, or years?
Character of Itch: