Class: Advanced Pathophysiology
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 Questions
C.J. is a 27-year-old male who started to present crusty and yellowish discharged on his eyes 24 hours ago. At the beginning he thought that washing his eyes vigorously the discharge will go away but by the contrary increased producing a blurry vision specially in the morning. Once he clears his eyes of the sticky discharge her visual acuity was normal again. Also, he has been feeling throbbing pain on his left ear. His eyes became red today, so he decided to consult to get evaluated. On his physical assessment you found a yellowish discharge and bilateral conjunctival erythema. His throat and lungs are normal, his left ear canal is within normal limits, but the tympanic membrane is opaque, bulging and red.
Case Study Questions
Psoriasis is a skin disease that makes the elbows, knees, scalp, and truck turn red and itchy. The condition is mainly triggered by skin injury, weather change, skin infection, smoking or exposure to secondhand smoke, or some heavy alcohol consumption. Based on clinical research, psoriasis is composed of many other skin infections, and various treatment forms can be presented as they all have common characteristics (Rendon & Schäkel, 2019). The most common types of psoriasis include plaque psoriasis characterized by sharp round circumscribed plaques. Another one is guttate psoriasis whereby, the patient experiences small lesions of psoriasis. Another clinical type is flexural psoriasis, which appears mainly on the limbs and truck and is shiny and red.