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Comprehensive Management of Psoriasis and Psoriatic Arthritis in Adults and Children

Assessing Metabolic Syndrome in a Patient with Psoriasis

Supported by independent educational grants from Janssen Biotech, Inc and UCB

The patient pictured below presents to clinic asking for psoriasis treatment. He has failed topical therapeutics and is requesting a biologic. On exam you note central obesity, while also determining the severity and extent of his psoriasis meets criteria for biologic treatment. Upon further questioning the patient reveals he does not have a primary care physician and cannot remember the last time he had labs checked or underwent a physical examination.

Photo credit: Gisondi, Paolo & Ferrazzi, Anna & Girolomoni, Giampiero. (2010). Metabolic Comorbidities and Psoriasis. Acta dermatovenerologica Croatica : ADC. 18. 297-304.

You are concerned about the association with psoriasis and metabolic syndrome, therefore will include which of the following tests/labs as you work-up this patient (choose all that apply):

I. CBC

II. Blood Pressure Measurement

III. Complete Metabolic Panel in fasting state

IV. Fasting Lipid Panel

I, II, IV

II, III, IV

I, III

I, II, III, IV