Acute Pruritic Rash — Allergic Contact
Dermatitis Case Study (Complete SOAP,
Physical Exam & Management Plan)
, PATIENT INFORMATION
Field Details
Age 25 YEARS
Sex Female
Date of Encounter Recent clinic visit
Setting Primary Care Clinic / Urgent Care
CHIEF COMPLAINT (CC)
“I have a new itchy rash on my arms that started recently.”
HISTORY OF PRESENT ILLNESS (HPI)
A young-adult female presents with the sudden onset of a new, intensely pruritic
rash located on both forearms and the backs of her hands.
Feature Details
Onset Rash began very recently (yesterday).
Bilateral forearms, dorsal hands, and lateral
elbows. Sparing of palms, soles, face, trunk and
Location lower extremities.
Multiple erythematous, raised, well-demarcated
plaques. Some plaques have tiny, clear vesicles at
their edges. Rash feels warm, is non-purulent, and
Quality causes severe itching.
Duration Present since yesterday; no improvement.
Progression
First appeared on the right forearm, then spread to