Adult-onset psoriasis is uncommon without a precipitating factor. In this patient’s case, an oral beta-blocker precipitated the psoriasis.
A 58-year-old man complained of the recent onset of a widespread, mildly pruritic rash. He was in good health except for about a 1-year history of symptomatic supraventricular arrhythmia.
Key point: Physical examination revealed a disseminated rash consisting of indurated, erythematous plaques variably covered by silver scales. A biopsy was read as psoriasis.
Treatment: The patient responded well to topical application of a mid-potency corticosteroid combined with narrow-band UVB phototherapy.
Note: Adult-onset psoriasis is uncommon without a precipitating factor. This patient was given an oral beta-blocker as management for his arrhythmia. Medications may precipitate otherwise typical psoriasis among those who are predisposed to this disorder.
Lebrikizumab Demonstrates Efficacy, Safety in Patients With Skin of Color With AD
June 11th 2025RAD 2025. Lebrikizumab improved skin clearance, itch, and pigmentation in patients with skin of color and atopic dermatitis, with strong safety data through 24 weeks, according to late-breaking data.