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A Retrospective Study to Evaluate the Effectiveness and Safety of Tofacitinib Ointment in the Treatment of Atopic Dermatitis

BASIC DETAILS

Patient code (Do not write name here) *

Date *

Patient's Age (years) *

Gender *

Male Female

Weight (in Kg) *

Diagnosis : Atopic Dermatitis

Other Dermatological Conditions

Skin Type *

Dry Oily Combination Sensitive

Presenting Complaint *

Rash Redness Itching Dry skin Inflammation Scaling or Flaking Lichenification

Duration since onset of symptoms *

Months

Seasonal Variation *

Yes No

Severity of Condition *

Mild Moderate Severe

Tofacitinib ointment *

Once a day Twice a day

Clinical outcome *

EASI score
Baseline
After 4 weeks

Clinician's Global Assessment of safety (Tick Appropriate) *

Excellent Good Fair Poor

Clinician's Global Assessment of Effectiveness (Tick Appropriate) *

Excellent Good Fair Poor

Adverse events *

Yes No

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