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, Antifongiques per os : OUI o NON o Molécule : ?????. Durée : Avant ?pendant ?après?la phase aiguë inflammatoire Effet sur l'intertrigo : Guérison?/amélioration?/stabilité?/aggravation? ? Méthotrexate? ;Alitrétinoïne?

, Évolution de l'épisode index Durée totale de la prise en charge de l'épisode « index » : semaines Issue : Guérison complète oen quel délai : ?????sans récidive ultérieureoavec récidives o Persistance à minima avec poussées o Si récidives connues : § Nombre : o 1-2 o 3-4 o> 4 § Durée approximative des épisodes : § Traitement : ???????????????????? § Facteur déclenchant identifié : ?????????????? Inconnue/perdu de vue o Complications : Eczéma de contact : OUI ?NON ?, Avant ?au cours?après? la phase aiguë inflammatoire ? Contrôle de la pathologie sous-jacente sous traitement : OUI o NON o ? Correction des facteurs favorisants : OUI o NON o Préciser

, Conséquences socio-économiques Arrêt de travail : OUI ?NON ? Durée : ? Changement ou perte d'emploi : OUI?NON?