, Jillian W. Wong2 and John Koo3
(1)
Department of Dermatology, University of New Mexico, Albuquerque, NM, USA
(2)
Department of Dermatology, University of California, Davis Sacramento, CA, USA
(3)
Department of Dermatology, University of California, San Francisco, CA, USA
Abstract
Ms. Bronte is a previously healthy 35 year-old woman, who presents to you as a new patient with sudden-onset generalized plaque-type psoriasis. She also complains of intermittent achy joints and a sensation of chest tightness that typically precedes each flare of psoriasis. She has received a thorough work-up from multiple specialists, including dermatology, rheumatology, and cardiology, at a respected medical institution prior to coming to you. In spite of having previously been diagnosed with psoriasis, she claims that her condition has not been fully diagnosed, and she worries about the risk of a cardiovascular event. Reports from cardiology and rheumatology revealed no obvious causes for her symptoms. The patient is sitting in front of you, appearing very anxious and distressed about her health, and pleads that you help control her psoriasis as well diagnose her heart and joint disease. In other words, she wants you to be her primary care physician (PCP).
Ms. Bronte is a previously healthy 35 year-old woman, who presents to you as a new patient with sudden-onset generalized plaque-type psoriasis. She also complains of intermittent achy joints and a sensation of chest tightness that typically precedes each flare of psoriasis. She has received a thorough work-up from multiple specialists, including dermatology, rheumatology, and cardiology, at a respected medical institution prior to coming to you. In spite of having previously been diagnosed with psoriasis, she claims that her condition has not been fully diagnosed, and she worries about the risk of a cardiovascular event. Reports from cardiology and rheumatology revealed no obvious causes for her symptoms. The patient is sitting in front of you, appearing very anxious and distressed about her health, and pleads that you help control her psoriasis as well diagnose her heart and joint disease. In other words, she wants you to be her primary care physician (PCP).
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