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A 61-Year-Old Man With Psoriasis
Richard D. Baughman, MD
JAMA. 1996;276(17):1421-1428.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Dr Delbanco:
Mr J is a 61-year-old man who has had psoriasis covering an increasing proportion of his body since his first psoriatic plaque appeared at the age of 5 years. Married and the father of 5 children, 1 of whom has psoriasis, he works as a senior executive in a manufacturing company in a suburb of Boston, Mass. He is insured by his employer and is enrolled in a managed care plan.
His mother, who also has psoriasis, first noted characteristic lesions on his elbows, and he began to visit dermatologists on a regular basis. He recalls treating his skin initially with many different ointments. When he was about 10 years old, lesions appeared also on his knees, and he was treated with vitamin B12 injections. From then on into his 30s, he recalls being treated with whatever was "new and exciting." He received corticosteroids topically. These helped initially,
. . . [Full Text PDF of this Article]
Author Affiliations
Discussant
Footnotes
Dr Baughman is professor of medicine (dermatology), Dartmouth Medical School, Hanover, NH.
This conference took place at the Dermatology Grand Rounds of the Beth Israel Hospital, Boston, Mass, on July 11, 1996.
Reprint requests to Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, East Campus, 330 Brookline Ave, LY339, Boston, MA 02215 (Ms Hartman).
Clinical Crossroads at Beth Israel Deaconess Medical Center is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Erin E. Hartman, MS, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.
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