Author: Fred Kahn MD, FRCS (C)
Source: Meditech International Inc.

Diagnosis

Psoriasis (Right Ankle)

History

• Lesions are painful, itching and generally uncomfortable
• Symptoms in existence 2 years
• Periodic hemorrhage
• Prior treatments include many different oral medications and topical applications including dressings

Physical Examination on Presentation at Meditech Clinic

• Dermis thickened and scaly
• Significant erythema and punctuate hemorrage

Treatment at Meditech Rehabilitation Clinic

• Remove dressings
• Cease utilization of all medication
• Laser treatment 3 times per week

Progress on the Above Regime:

• After 12 treatments, patient asymptomatic
• Lesion largely healed
• Patient no longer conscious of presence of lesions
• Minimal pigmentation remains and expected to disappear

Final Results

No evidence of recurrence 8 weeks post cessation of treatment

Figures

• Fig. I to II – Initial status
• Fig. III to IV – Intermediate
• Fig. V to VI – Most recent status