Care Plan Synthesis
Case Study -Psoriasis
A 54-Year-Old Man with Mild to Moderate Psoriasis
History and Presentation Adam is a 54-year-old man who presents for a routine checkup,
complaining about increasing flares of his psoriasis. He has a 15-year history of
mild/occasionally moderate psoriasis and applies topical cream inconsistently. You remind
Adam that psoriasis puts him at risk for comorbidities. You check his blood pressure (BP) and
order appropriate laboratory tests. Physical findings
(LDL-C) = 128; high-density lipoprotein cholesterol (HDL-C) = 52
On thorough visual examination, Adam’s body surface area (BSA) is >5%. It is evident that
Adam's psoriasis has not been well-controlled on his current topical therapy regimen.
As you take out your prescription pad, Adam mentions that he has been waking up most
mornings with wrist stiffness and swelling and pain in his ankles. He also complains of fatigue.