In this week's general dermatology case discussion, presented by Dr Dianne King, we look at a 14-year-old girl who presents with psoriasis that has not responded to intermittent topical steroid treatment over the past year. Her mother also has psoriasis.
Examination reveals widespread psoriatic plaques involving the trunk, limbs and scalp. No nail changes are present, and the palms and soles are unaffected. There are no symptoms suggestive of psoriatic arthritis.
Given the extent of disease, a referral to dermatology is initiated.
What management plan would you recommend for this patient? Consider both treatment of the current flare and longer-term skin barrier care.
Share your approach in the comments below. Dr Dianne King’s management plan and the patient outcome will be added on Wednesday 9 September.
This general dermatology case is presented by Dr Dianne King and featured in A Practical Guide to Common Skin Conditions in Primary Care, developed by HealthCert Education in partnership with CeraVe.
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