Abstract

A CASE REPORT ON PSORIASIS RELATED CELLULITIS IN A DIABETIC PATIENT

Sreelekshmy B. S., Ranjana S. R., Bincy Babu* and Shaiju S. Dharan

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Abstract

Background: Psoriasis is a chronic, relapsing, immune mediated skin disorder. The different factors like infections, obesity, alcohol, smoking, psychosocial factors, stress and drugs contributed to psoriasis. This systemic disease can have a dramatic effect on the quality of life of patients and their burden of disease. A long-term therapy is needed for psoriasis. The choice of therapy is determined by disease severity, comorbidities, and access to health care. Mild to moderate psoriasis can be treated topically with a combination of glucocorticoids, vitamin D analogues, and phototherapy, moderate to severe psoriasis requires systemic treatment with corticosteroids, vitamin derivatives and vitamin D topical agents. Case presentation: A 69 year-old woman presented with complaints of pain and redness at right lower lobe. She had personal history of psoriasis 2 years ago, Type 2 DM for 3 years and hypothyroidism for 5 years. She was not on treatment for psoriasis but had taken medicine (T.ACITRETIN 25 mg) 2 years back and discontinued. Now the condition has worsened. Lower limb Doppler study disclosed that the presence of few inflammatory varicose veins in bilateral lower limb, and no evidence of DVT. She had pain over the knee which represented the psoriatic arthritis. Patient was started with IV fluids, antibiotics, retinoid and own medications and counselled for taking medications correctly. Conclusion: This case concludes that the medication adherence of the patient was poor and was counselled to take the medications properly without fail which caused the occurrence of complications such as psoriatic arthritis and cellulitis.

Keywords: Psoriasis, Cellulitis, Psoriatic arthritis, Medication adherence, Lesion.