Psoriasis follow-up

Age: ‍ years old

Gender: ‍malefemale



HISTORY:

Returns for a ‍psoriasis follow-up

Last visit was ‍ ‍months ago

Location is on ‍faceneckarmshandslegsfeetchestabdomenback

Progress since last visit: ‍unchangedimprovedworsenedvariable in intensityresolved



Updates on symptoms:

‍itching

‍scaling

‍red patches

‍nail changes

‍joint pain

‍fatigue

‍depression

‍anxiety



Triggers identified: ‍nonestress

Skin care routine: ‍nonemoisturizing, ‍effectiveineffective

Medications tried: ‍topical corticosteroids, ‍vitamin D analogues, ‍topical retinoids, ‍calcineurin inhibitors, ‍salicylic acid, ‍coal tar, ‍biologics, ‍effectiveineffective, ‍adverse effect, ‍good adherence

Phototherapy: ‍noneongoingcompleted, ‍effectiveineffective





EXAM:

General appearance: ‍well-appearing, ‍apparent distress

Skin: ‍rashlesions on ‍

Musculoskeletal: joints ‍ ‍normal, ‍limited ROM





ASSESSMENT:

‍Psoriasis ‍likelysuspectedpossible, ‍well-controlled

DDx: psoriasis, seborrheic dermatitis, eczema, contact dermatitis, fungal infection, lichen planus, pityriasis rosea, drug eruption, parapsoriasis, cutaneous T-cell lymphoma, pityriasis rubra pilaris, psoriatic arthritis, HIV-associated dermatoses





PLAN:

Treatments:

- ‍Topical corticosteroids

- ‍Vitamin D analogues

- ‍Topical retinoids

- ‍Coal tar

- ‍Anthralin

- ‍Biologics

- ‍Phototherapy

Further care:

- Referral to dermatologist

- Follow-up in ‍ ‍weeksmonths

- Return if symptoms worsen