So that’s it.Īlexa Hetzel, MS, PA-C: how many people has she seen before.How much money has she spent investing in the past 10 years on different therapies? And time with light therapy to not get much. And so she’s come here, she wants help, and hey, I got you. The one thing that comes to my mind is that this is a desperate patient. But obviously, a systemic biologic could be a great option for her. Deucravacitinib could definitely be a great option for this patient, especially the significant amount of psoriasis that she has. So for me, I would discuss with her all the other treatment options within the algorithm that we have, whether it be oral therapies, just like deucravacitinib. Obviously she’s come into the office, so in my mind, obviously she’s been on multiple topical therapies up until this point and is probably sick and tired of it and is looking for potential answers to what could be a good option. I can’t imagine to have suffered with something for 10 years and not found any type of resolve.
And I think…that at times even a mosquito bite annoys the daylights out of me. Terry Faleye, MPAS, PA-C: My first impression was that’s so sad, because you said 10-year history. So Terry, what’s your initial impression of this case, and how would you approach it? You know they’re having a really hard time when they won’t look you in the eye. Especially when you’re having that conversation, they won’t look you in the eye. Now it’s starting to affect her clothing choice, and really shying away from social situations, which is really hard to see. This is really affecting her quality of life because she feels really embarrassed.
She continues to experience persistent, widespread plaques in her scalp, elbows, and knees. She’s been treated previously with various topical treatments and phototherapy with very limited benefit. She’s a 40-year-old living with moderate to severe plaque psoriasis for over 10 years. Alexa Hetzel, MS, PA-C: Let’s get into our next.
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