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Integumentary case study

24/04/2021 Client: muhammad11 Deadline: 2 Day

1. Case study on Psoriasis

A 58 year old male presents to your clinic with a complaint of itchy patches of red skin on his arms bilaterally. The patches are covered with loose, silvery, dry skin. The patient denies any known contact with allergens. He denies fever and any symptoms of illness. He states he has had this problem twice before, however the lesions went away in the course of a few weeks and he did not seek medical treatment. The patient's vital signs are stable and he is afebrile. He has not medical history and admits to smoking one pack of cigarettes per day. On exam, you note large, plaque-like lesions over his elbows and forearms. You also observe one similar lesion to his scalp. This patient's fingernails also appear discolored and pitting is noted. The lesions are covered with loose, flaky dry skin. They are non-tender and are not warm to the touch. Based on the appearance of these lesions, you quickly diagnose this patient with psoriasis. You elect not to confirm your diagnosis with a skin biopsy as based on the typical presentation of this case, you are certain of your diagnosis.

Why are you so sure of your diagnosis?
What things or events could have triggered this patient’s outbreak?
Why shouldn't a topical medication be an option for treatment in some cases?
What is the preferred treatment for Psoriasis?
Identify 7 clinical manifestations that are identifiable in this disorder

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