{"text":"Clelland, Agnes M, CHI: 0809555328, 26-Sep-2008, Dermatology Page 2 of 5 \n. \nAl \nCLINICAL INFORMATION \nHistory of presenting complaint \/ examination findirgs \/ investigation results \nPresenting complaint \nDescription: Severe flare-up of dermatitis not respondi\ufb01g to treatment. \nComment: Dear Dactor, \nThe above named lady was investigated several years ago for a non-specific dermatitis for which no cause was \nfound. She has been relatively asymptomatic from this.until recently at the beginning of September she had a \nsevere flare-up covering most of her body. Apparentiy it was very itchy and it did not respond to treatment \nwith anti-histamines or tdpical steroids. Aithough she had started on.Arcoxia at that time, the rash appar\u00e9ntly \n- presented before she took these tablets. She works as a Cleaner in a school and has not, as far as she is \naware, had any change in anything that she is in contact with. Her current regime includes Dermol shower \nlotion, Betnovate RD twice daily, Telfast twice daily and Dermol moisturiser. Her symptoms are now beginning \nto resolve slightly, but in view of the severlty and the non- specific nature of this rash, I would value your \nurgent assessment. , \nThank you for seeing her. \nYours sincerely, \nDr. S \u2019Brown \n) Lifestyle Risks and Alerts \/ Examinations and Investigations \nDescription\/Question Result\/Comment Date \nNever smoked tobacco: \u2019 27-Aug-2003 \nNever smoked tobacco: 20-Aug-2002 \nNever smoked tobacco: 15-Apr-2008 \nNever smoked tobacco: \u2019 27-Jul-2007 \nNever smoked tobacco: 20-Mar-2007 \nNever smoked tobacco: 07-Mar-2006 < \nNever smoke& tobacco: 01-Dec-2005 \nLight drinker - 1-2u\/day: . ) 27-Aug-2003 \nTrivial drinker - <1u\/day: i 20-Aug-2002 \nLight drinker - 1-2u\/day: : 22-Aug-1994 \nAlcohol intake within recommended sensible limits: 27-ul-2007 \nAlcohol intake within recommended sensible limits: 20-Mar-2007 \nAlcoho! intake within recommended sensible limits: 07-Mar-2006 \nAlcohol intake within recommended sensible limits: 01-Dec-2005 \n. Alcohol intake within recommended sensible limits: '13-Aug-2004 \n_ ) Enjoys light exercise: - 20-Aug-2002 \n= Avoids even trivial exercise: . ) 22-Aug-1994 \nEnjoys light exercise: . ' 27-1ul-2007 \nEnjoys light exercise: \u2018 20-Mar-2007 \nEnjoys light exercise: \u2018 T, 07-Mar-2006 \nEnjoys light exercise: . 01-Dec-2005 \nEnjoys light exercise: 13-Aug-2004 ) \nReason for referral \nCare type requested: Out Patient \nExpected outcome: Not Specified \nPast medical history \nPre-existing conditions (High & medlum priority - all) \nDate . . Date of \nDescrip \nscription ) . recorded Moch\ufb01'er Extension onse \nBody mass index 30+ - obesity - - - . 15-Apr-2008 \nh@s:\/\/m.sciw.scot.ms.uk\/web\/message\/lett\u2018er.'asp ' | 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