Patient’s Data​

Name: Rose Ashburn

Age: 28 years old female

Past medical history

• Asthma
• Eczema

Drug and Allergy history 

• Oilatum cream
• Mometasone furoate 0.1% cream apply once daily (Acute prescription) 
• Symbicort 100/6 Turbohaler – 1 puff as needed, may be increased up to 6 puffs as required (maximum 8 puffs per day)

Recent notes/ consultation

Letter from St Mary’s Dermatology Clinic 4 months ago

Rose Ashburn | 28 years old | Female 

Dear GP,

Thank you for referring this 28-year-old lady with a background history of Eczema and Asthma to our clinic with a query of contact dermatitis or work-related eczema.

Ms. Ashburn works as a beautician and nail technician, with occasional exposure to products such as hair creams and nail polishes. She reports no history of immediate skin reactions to these substances and is currently not experiencing an active eczema flare.

A patch test was performed prior to today’s consultation and showed no positive reactions. Based on this, I have advised her that her eczema is unlikely to be occupational in origin.

She has been advised to keep a symptom diary to help identify and avoid potential triggers. No further dermatological input is required at this stage, and she has therefore been discharged from our clinic.

Yours sincerely,
Dr Blerina Frashëri, MBChB, FRCP
Consultant Dermatologist 

Seen 2 weeks ago by Dr Nigel Durant (General Practitioner).

Presenting complaint: Patient presented with a recurrent flare of eczema affecting both upper limbs, particularly around the elbows and hands. She suspects psychological stress as a possible trigger, but stated her mood is currently fine and was not keen to discuss psychological factors, expressing confidence in managing that aspect herself.

Examination findings: Erythema and scaling noted around the elbows and dorsal aspect of both hands. All vitals stable 

Impression: Eczema flare.

Plan: Prescribed mometasone furoate 0.1% cream to be used once daily and advised on liberal use of emollients. Safety netting and worsening advice given. 

Patient booked routine telephone appointment to discuss concerns