Erythrodermic psoriasis and severe hypotension requiring intensive care unit hospitalization: Poor treatment outcome as a result of poor adherence. (3rd March 2016)

• Record Type: Journal Article
• Authors: Vaidya, Toral S.; Lewallen, Robin S.; Feldman, Steven R.
• Is Part Of: Journal of dermatological treatment. Volume 27:Number 2(2016:Apr.)
• Page Start: 134
• Page End: 135
• Publication Date: 2016-03-03
• Subjects: Comorbidities -- compliance -- disease severity; Skin -- Diseases -- Treatment -- Periodicals; Skin Diseases -- drug therapy -- Periodicals; Skin Diseases -- therapy -- Periodicals; 616.5
• DOI: 10.3109/09546634.2015.1087462
• Languages: English
• ISSNs: 0954-6634

Abstract

Abstract: Psoriasis is closely associated with cardiovascular comorbidities. Poor adherence can affect both psoriasis outcomes and the effectiveness of treatment for cardiovascular comorbidities. We discuss a case of psoriasis medication nonadherence resulting in admission to the dermatology inpatient service for erythrodermic psoriasis. Administration of the patient's prescribed home antihypertensive regimen on admission resulted in a severe hypotension requiring transfer to the medical intensive care unit (ICU). This case illustrates the role of poor adherence in an erythrodermic flare of psoriasis; this case also illustrates how new-onset regimented adherence, in a formerly nonadherent patient, may result in life-threatening iatrogenic disease.