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July 23, 1997

A 61-Year-Old Man With Psoriasis, 1 Year Later

JAMA. 1997;278(4):328. doi:10.1001/jama.1997.03550040084042

At Dermatology Grand Rounds held approximately 1 year ago, Dr Richard Baughman discussed the evaluation and management of a 61-year-old man with psoriasis that first appeared when he was a young child.1 The patient had tried many different approaches to managing the illness, including some that he felt were too risky, and others that gave little benefit over time, despite short-term gains. Dr Baughman discussed the pathogenesis and natural history of psoriasis and an orderly approach to the management of the illness, noting that risks may accompany some of the treatments that seem to show the most promise. We asked the patient and his doctor to comment on the year that has passed.

MR J, THE PATIENT  In December 1996,I vacationed in Puerto Rico and revisited a beach which, because of its secluded location, allows for maximal sun exposure. For 9 days, I took advantage of every opportunity for such