PMC6035840_01
(a) First presentation, before calcitriol therapy; (b) at 2 months already healing; (c) at 3 years after the first presentation, currently in paricalcitol therapy, with minimal lesions.
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fig1
Intense scratching of the patient, which was very difficult to alleviate with the topical use of antibiotics, corticosteroids, and oral antihistamines, caused sleep disturbances and a huge frustration to the family (Figure 1(a)). At 6 months, there was almost healing of her skin with only mild existing dryness, no itch, and absent inflammation (SCORAD 10) (Figure 1(b)) with signs of postinflammatory pigmentation over her skin as well. Clinically, the patient remained stable (Figure 1(c)) practically free of AD but hypercalciuria resolved completely (Table 1).