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case 5 psoriasis plaque type


case female 44 years no underlying disease

patient history : 1 month PTA after back from beach started to have papule then turn to plaque and scale mild itching

she tried to apply moisturizer but the lesion still progress , no fever

physical examination :

treatment :stivate and urea and atarax

follow up : 3 week

plan

  1. step down topical steroid to mod potent

  2. check co- morbid disease : lipid profile , FBS , liver function , hepatitis profile

  3. weight reduction

follow 3 week , hypopigment skin surround lesion

decrease scale and redness

management : hydrate skin by petrolatum jelly , decrease topical steroid to 5% LCD in bet

follow up picture



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