Patient presentation
Chief complaint: Recurrent itchy dry skin patches on flexures + hands for 8 years. Worse in winter. Tried multiple topical steroids — relief, then rebound.
History: Atopic constitution (childhood eczema, allergic rhinitis). Avoids dairy intuitively. Stressful job + late nights. No food allergies confirmed.
Your Assessment (self-test)
Before revealing the answer, write what you think the diagnosis + treatment approach is. Optional but helpful for self-testing.