1. A 47 year old man presents to the dermatology clinic complaining of a pruritic rash on his scalp and his umbilicus. The physical exam shows there are erythematous plaques with silvery scales consistent with psoriasis. Counseling on the management of psoriasis is initiated. According to the Joint AAD-NPF guidelines, what other factors should the dermatologist consider?
A. Clinicians should consider early and more frequent screening for hypertension, diabetes, and hyperlipidemia in psoriasis patients who are candidates for systemic or phototherapy or who have psoriasis involving >10% of the BSA.
B. CV risk assessment (screening for hypertension, diabetes, and hyperlipidemia) with national guidelines is recommended for all patients with psoriasis.
C. CV risk management in psoriasis for hypertension and dyslipidemia should be carried out according to national guidelines. The target for blood pressure and lipid levels are based on risk calculated for psoriasis. Antihypertensives and statins may be used as in the general population. CV risk management should be performed by either a primary care physician or other health care provider experienced in CV risk management or the dermatologist.
D. Risk score models should be adapted for patients with psoriasis by introducing a 1.5 multiplication factor when the patient with psoriasis meets either criteria: disease severity of BSA >10% or candidate for systemic or phototherapy
E. All of the above
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