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Case Presentation: 45-Year-Old Caucasian Male Diagnosed With Psoriasis


Mark G. Lebwohl, MD, presents a case of a 45-year-old Caucasian male diagnosed with psoriasis.

Mark G. Lebwohl, MD: Let me close with the case of a 45-year-old White man diagnosed with psoriasis who presents with increasing joint pain and stiffness, generally in the morning. He was diagnosed with moderate to severe psoriasis 8 years ago. During that time, he has tried several biologics, including adalimumab, ustekinumab, secukinumab, and ixekizumab. He noted that these were all successful at first but less efficacious over time. Upon examination, erythematous-scaling plaques cover 12% to 15% of the body surface area, primarily on the upper bilateral legs. Additionally, the patient noted that he has never been evaluated by a rheumatologist and has no history of bowel issues. His past medical history is noteworthy for hypertension managed with lisinopril, diabetes managed by metformin, hypercholesterolemia managed with atorvastatin, and obesity. His BMI is 32.1, and he has both psoriasis and psoriatic arthritis.

Transcript edited for clarity

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