K.B. is a 40-year-old white female with a 5-year history of Psoriasis. She has scheduled an appointment with her dermatologist due to another relapse of Psoriasis. This is her third flare-up since a definitive diagnosis was made. This outbreak of plaque psoriasis is generalized and involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed with limited plaque-type Psoriasis at age 35 and initially responded well to topical treatment with high-potency corticosteroids. She has been in remission for 18 months. Until now, lesions have been confined to small regions on the elbows and lower legs.
Case Study 1 Questions:
Name the most common triggers for Psoriasis and explain the different clinical types.
There are several types of pharmacological treatments for Psoriasis. Explain the different types, and indicate which would be the most appropriate approach to treat this relapse episode for K.B.
Include non-pharmacological options and recommendations for Psoriasis.
Medication review and reconciliation are always important for all patients. Describe and specify why in this particular case is important to know what medications the patient is taking.
What other manifestations could be present in a patient with Psoriasis?