Plaque Psoriasis Management
Integumentary Function:
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. K.B. is currently experiencing her third flare-up since doctors definitively diagnosed her with plaque psoriasis. This outbreak has spread extensively, affecting large areas on her arms, legs, elbows, knees, abdomen, scalp, and groin. At age 35, healthcare providers diagnosed her with limited plaque-type psoriasis, and she initially responded well to treatment using high-potency topical corticosteroids. She remained in remission for 18 months, during which her lesions stayed limited to small patches on her elbows and lower legs.
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Plaque Psoriasis Management
Case Study Questions
- Name the most common triggers for psoriasis and explain the different clinical types.
- There are several types of treatments for psoriasis, explain the different types and indicate which would be the most appropriate approach to treat this relapse episode for K.B. Also include non-pharmacological options and recommendations.
- Included in question 2
- A medication review and reconciliation are always important in all patient, describe and specify why in this particular case is important to know what medications the patient is taking?
- What others manifestation could present a patient with Psoriasis?
500 WORDS, APA FORMAT, 2 ACADEMIC SOURCES WITHIN THE LAST 5 YEARS.
Common Triggers and Clinical Types of Psoriasis
Psoriasis is frequently triggered by stress, infections (like streptococcal pharyngitis), skin trauma (Koebner phenomenon), certain medications (e.g., beta-blockers, lithium), and lifestyle factors like smoking and alcohol use (Elmets et al., 2019). Clinically, psoriasis presents in various forms: plaque psoriasis (most common), guttate, pustular, erythrodermic, and inverse psoriasis. Plaque psoriasis, as seen in K.B., is marked by raised, inflamed lesions covered with silvery scales.
Importance of Medication Review
Medication reconciliation is crucial for psoriasis patients due to the potential of certain drugs to exacerbate or induce flare-ups. Identifying agents like lithium or antimalarials helps prevent relapse and guides therapeutic decisions (Parisi et al., 2020).
