A 54-Year-Old Man with Mild to Moderate Psoriasis article assignment help

general article writing

Description

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

  •  Height: 5 ft 8 in
  •  Weight: 192 lb
  •  Body mass index (BMI): 29.0 kg/m2
  •  BP (treated): 131/86 mm Hg


  • Laboratory findings
  •  Glycated hemoglobin (A1C): 6.3%
  •  Fasting plasma glucose: 121 mg/dL
  •  Lipids (treated) (mg/dL): total cholesterol (TC) = 215; low-density lipoprotein cholesterol

(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.

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