A 64-year-old male presents with an exacerbation of psoriasis.His social history includes 50-year two packs a day of cigarettes and a six-pack a week of beer.He states he had a recent sore throat,which he attributes to minding his young grandson.He reports that until recently the pruritis was only minimal.His BMI is 37.Which of the following factors most likely contributed to the acute presentation of psoriasis?

Question

Quizplus · Accepted Answer

A recent streptococcal infection is a known trigger for acute exacerbation of psoriasis. The patient's smoking and obesity may also contribute to the chronicity and severity of his psoriasis, but they are not the most likely factors for his acute presentation. Alcohol abuse may contribute to liver damage, which can affect psoriasis, but it is not as likely a trigger as a recent infection.

A 64-Year-Old Male Presents with an Exacerbation of Psoriasis