What outcome do you value as the most important measure of success when treating CHE?

Sustained symptom control that restores hand function is the priority. Pain, fissuring, and itch are what drive disability and quality of life impact, so meaningful improvement in these symptoms and return to daily activities define true success.

Patient-reported symptoms and quality of life inform...

Reduction in pain (fissures) and itch on a 10-point scale.

Improvement in the ability to work.

Decrease in rereported bleeding (from fissures or from atrophic due to prior steroid use).

I do not use HECSI in the clinical setting.