What Is Causing This Psoriasis Exacerbation?

psoriasis on legsThis 46-year-old woman had been doing well on adalimumab for the treatment of psoriasis for almost 2 years. She presented with what appeared to be a flare of her psoriasis. She denied any exposure history, recent infections, and taking any new medications. She also reported that her knees and lower back were aching.


What is causing this psoriasis exacerbation?

  1. Occult streptococcal infection
  2. Occult vaginal infection
  3. Occult tooth abscess
  4. Psychological stress
  5. New medication exposure

To learn the answer, go to page 2. 

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