A middle-aged man with
"jock itch" that has failed to
respond to antifungal creams.
An older woman who has diffuse
hyperkeratosis of predominantly
A young man with mildly
pruritic, small, salmon pink
papules and thick white scale
on his trunk and arms.
What do these patients have
in common-and what treatment
strategies would you pursue?
These patients all have psoriasis,
which affects 2.6% of
range from localized, pruritic,
scaly, erythematous papules
and plaques to widespread erythrodermic
or pustular disease to psoriatic
arthritis. Many patients respond well
to the various therapies in the broad
armamentarium; however, some have
been disappointed by ineffective, inadequate,
inconvenient, and potentially
toxic treatments that fail to relieve
Here we present 9 cases that
illustrate various types of psoriasis.
After each case, we review the available
treatment options and offer our