Peer Reviewed
Dermatology clinic
Chronic psoriasis
Abstract
A case report demonstrating the problems often faced by people with psoriasis and the trade-offs made for the limitations of available treatments.
Key Points
- What are the treatment options for chronic psoriasis?
Case history
A 56-year-old man presented with chronic plaque psoriasis of eight years duration. The psoriasis had been mild at first and affected only his scalp, but it had flared after 18 months and then slowly settled with treatment; it had fluctuated in severity since. Over the past year he had had a moderate number of plaques affecting particularly his trunk but also his elbows, knees, shins, scalp and glans penis (Figures 1a and b). In some areas, the psoriasis was annular (Figure 1c). He had been taking naproxen 250 mg twice daily for two years for osteoarthritis of his knees; he had no features of inflammatory arthritis. He was moderately obese, drank about eight stubbies of full strength beer weekly and had hypercholesterolaemia controlled with atorvastatin 10 mg daily and diet. He had stopped smoking cigarettes six months ago and he worked as an electrician. His mother had mild psoriasis.
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