Station 5: Psoriasis
I came across this patient while I was running my cardio follow-up clinic. He had stable CAD on optimised medical treatment. I quickly noticed the following:
Record:
This patient has psoriasis without joint involvement.
There is pitting of the fingernails and thickening of the nail plates. Onycholysis is noted in some of the fingers. However, there is no yellowish discolouration of the nails and there is no joint involvement. There are patches of silvery scaly, salmon-pink and well-circumscribed circular plaques noted at the elbows, knees and dorsal aspects of the fingers. The scalp is spared and there is no lesion elsewhere.
Record:This patient has psoriasis without joint involvement.
There is pitting of the fingernails and thickening of the nail plates. Onycholysis is noted in some of the fingers. However, there is no yellowish discolouration of the nails and there is no joint involvement. There are patches of silvery scaly, salmon-pink and well-circumscribed circular plaques noted at the elbows, knees and dorsal aspects of the fingers. The scalp is spared and there is no lesion elsewhere.
posted by Axonopathic @ 5/07/2006 12:54:00 AM
3 Comments:
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Psoriasis is important for PACES. One of my senior always says "If skin is the least you know about medicine, then please remember psoriasis for PACES. "
If you are allowed to ask questions, do ask about drugs which can aggravate psoriasis.
In view of the history of IHD in this patient, he is most likely on beta-blocker which can worsen the plaques.
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