CASE – SKN007
Main signs and symptoms
Long history of Hashimoto’s thyroiditis and treatment with thyroid hormone supplement. In the last 3 years severe psoriasis has developed (diagnosed as psoriasis vulgaris), which has not responded to medical treatment. Recently the rashes have become worse, and he also has arthritic pain.
On inspection: chronically ill appearance, skin is generally dry and dull, large psoriatic plaque on his trunk. Patient kept scratching during the consultation. When the scaling skin is peeled off there are bleeding spots underneath …