Patient Case: Severe psoriasis in a patient recently diagnosed with thyroid carcinoma

A G- Med Community Dermatologist presents for consultation a 54 y/o female, her PMH is positive for diabetes and dyslipidemia. She is suffering from psoriasis 30 years with psoriatic arthritis in the past 20 years. She was previously treated with nb uvb with partial remission of skin lesions, acitretin without response. Methotrexate for long period of time till liver fibrosis IIIb was diagnosed...


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Any suggestions for future options if apremilast will not work?









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