K.B. is a 40-year-old white female with a 5-year history of psoriasis. She has scheduled an appointment with her dermatologist due to another relapse of psoriasis. This is her third flare-up since a definitive diagnosis was made. This outbreak of plaque psoriasis is generalized and involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed with limited plaque-type psoriasis at age 35 and initially responded well to topical treatment with high-potency corticosteroids. She has been in remission for 18 months. Until now, lesions have been confined to small regions on the elbows and lower legs. C.J. is a 27-year-old male who started to present crusty and yellowish discharged on his eyes 24 hours ago. At the beginning he thought that washing his eyes vigorously the discharge will go away but by the contrary increased producing a blurry vision specially in the morning. Once he clears his eyes of the sticky discharge her visual acuity was normal again. Also, he has been feeling throbbing pain on his left ear. His eyes became red today, so he decided to consult to get evaluated. On his physical assessment you found a yellowish discharge and bilateral conjunctival erythema. His throat and lungs are normal, his left ear canal is within normal limits, but the tympanic membrane is opaque, bulging and red.

Psoriasis is a chronic autoimmune skin condition characterized by the rapid buildup of skin cells. It is a non-contagious condition that commonly presents as red, scaly patches on the skin. Plaque psoriasis is the most common form of the disease and is characterized by thickened, raised patches of skin called plaques. These plaques are typically covered with silvery scales and can be itchy or painful.

In the case of K.B., a 40-year-old white female, she has a 5-year history of psoriasis. This is her third flare-up since being diagnosed with limited plaque-type psoriasis at age 35. Initially, she responded well to topical treatment with high-potency corticosteroids and has been in remission for 18 months. However, her current relapse is more severe, with generalized plaques involving large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin.

The presence of generalized plaques suggests that K.B.’s psoriasis has progressed from limited to more severe forms of the disease. This is known as psoriasis vulgaris, which is characterized by widespread involvement of the skin. The involvement of multiple body regions significantly impacts K.B.’s quality of life and may require more aggressive treatment options.

When managing psoriasis, the primary goal is to control symptoms, reduce inflammation, and prevent disease progression. In cases of mild to moderate psoriasis, topical treatments such as corticosteroids, vitamin D analogs, and topical retinoids are commonly used. However, in severe cases like K.B.’s, systemic therapies may be necessary, including oral medications, biologic agents, or light therapy.

It is important for K.B. to see her dermatologist for a comprehensive evaluation and to discuss treatment options. The dermatologist will assess the severity of her psoriasis and consider factors such as her previous treatment response, medical history, and lifestyle factors when determining the most appropriate treatment approach.

In the case of C.J., a 27-year-old male, he presents with symptoms of discharge, blurry vision, and throbbing pain in his left ear. These symptoms, along with the presence of yellowish discharge, bilateral conjunctival erythema, and a red tympanic membrane, suggest a likely diagnosis of conjunctivitis and otitis media.

Conjunctivitis, also known as pink eye, is inflammation of the conjunctiva, the thin membrane that covers the white part of the eye and the inner surface of the eyelids. It can be caused by various factors, including viral or bacterial infections, allergies, irritants, or underlying medical conditions.

Based on C.J.’s symptoms and findings on physical assessment, it is likely that he has bacterial conjunctivitis, which is typically characterized by redness, discharge, and a gritty or foreign body sensation in the eye. The yellowish discharge and bilateral conjunctival erythema further support this diagnosis.

Otitis media, on the other hand, is inflammation of the middle ear, commonly caused by bacterial or viral infections. The presence of throbbing pain in the left ear, along with an opaque, bulging, and red tympanic membrane, suggests a likely diagnosis of acute otitis media, which is characterized by a rapid onset of ear pain associated with middle ear effusion.

C.J. should seek medical evaluation, as both conjunctivitis and otitis media require appropriate treatment. Bacterial conjunctivitis can be treated with topical antibiotic eye drops or ointment, while acute otitis media may require oral antibiotics or a period of observation in mild cases.

In conclusion, psoriasis and conjunctivitis with otitis media are two distinct health conditions that require appropriate evaluation and treatment. Psoriasis requires a comprehensive assessment to determine the severity and appropriate treatment approach, while conjunctivitis and otitis media require medical evaluation to determine the underlying cause and administer appropriate treatment.