• Patient is a 24 year old college student / massage therapist
• Lesions progressive in nature
• Severe itching
• Patient notes that stress increases severity
• Duration 6 years
• Prior therapy consisted of cortisone and multiple other topical applications

Physical Examination on Presentation at Meditech Clinic:

• Punctuate lesions, erythematous, elevated and tender to touch
• Involvement right popliteal space, calf and left anterior tibia in addition to hands

Treatment at Meditech Rehabilitation Clinic:

• Laser treatments twice per week ** Note: ideal would be 3 to 4 times per week

Progress on the Above Regime:

• Rapid resolution of symptoms and eczema

Figures:

• Fig. I to III – Initial status
• Fig. IV to VI – Intermediate stage
• Fig. VII to IX – Most recent status