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Treatment Plan for Psoriasis

Medications:

Corticosteroids (mild psoriasis)

Traditional Medication therapy:

  • Methotrexate
  • Cyclosporine
  • Acitretin

Small molecule inhibitors:

  • Apremilast
  • Deucravacitinib

Lifestyle Modifications:

  • Lifestyle Modifications:
  • Narrow band UV-B Light (Light Therapy)
  • Quit Smoking
  • Weight loss program
  • Healthier diet
  • Exercise
  • Restrict alcohol consumption
  • Reduce the amount of stress

Patient History

Patient Information:

  • Name: Cora Thatcher
  • Age: 47 years old
  • Gender: Female
  • Occuption: 911 Call operator

Family History:

  • Father: Deceased at 70 years (Myocardial infarction)
  • Mother: Deceased at 73 years (Stroke)
  • Sibling: Brother, age 50, with diabetes
  • Sibling: Brother, age 45, with psoriasis

Social History:

  • Occurring alcohol use
  • Tobacco use
  • Sedentary lifestyle (used to be active)

Past Medical History:

  • Hypertension (diagnosed 3 years ago)
  • Hepatitis C (diagnosed 15 years ago
  • Obesity (BMI: 34 kg/m²)

Allergies:

  • No known drug allergies

Psoriasis Patient Case Study

Conclusion

By Cailyn Do-Ngo

Cora's Psoriasis can be treated to lessen the impact of Psoriasis. However, she must change her lifestyle if she wants the treatment accurately work.

She has a moderate case of Psoriasis and alcohol, smoking, infections, and stress will impact her recovery process. These characteristics can intensify imflammation caused Psoriasis and could lead to cardovascular diseases.

Physical Examination & Diagnostic Tests

Physical Examination:

  • Overweight female with physical red patches covered in scaly dry skin
  • Raised skin on both areas of the elbow (8 cm width, 11 cm length)
  • Raised skin on the back of the neck going down to the back (27 cm width, 49 cm length)
  • Raised skin around the hairline, surrounding the scalp.

Diagnostic Tests

  • Complete Blood Count (CBC): Abnormal Leukocyte count
  • Skin Biopsy Test (rarely needed): Plaque Psoriasis
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