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What is your date of birth?
Have you used any of the following medications/therapies in the last 3 months?
- Creams/Ointments/Lotions/Gels: Eucerin, Cetaphil, Nutraderm, petroleum jelly, Aquaphor, Vaseline
- Topical Corticosteroids: Clobex, (clobetasol propionate), fluocinonide (Vanos Cream, Halog Ointment, Lidex-E Cream), hydrocortisone (Nutracort Lotion, Synacort Cream)
- Topical Non-Steroid: Eucrisa (crisaborole)
- Oral Steroids: Prednisone, Hydrocortisone
- Injection: Dupixent (dupilumab)
- "Bleach Baths"
- UV Light Therapy