CONSULTATION
The patient was admitted to the hospital for treatment of a leg ulceration. Consultation was requested specifically for an eruption on the back and legs, which the patient states has been present 3 months. No treatment has been given for this. The nurses report that the area had been oozing on the back, but since the start of oral Keflex, the oozing has stopped. The patient is not a good historian and states only that the eruption started about 3 months ago, and it is occasionally pruritic.
Physical examination showed, covering most of the back and also the medial central buttocks, confluent, erythematous, scaly plaques with some crusting. Similar plaques were also present on the anterior lower legs.
IMPRESSION
My impression is confluent psoriasis which had been secondarily infected.
PLAN
1. The Keflex should be continued to treat the secondary infection.
2. The psoriasis will be treated with a combination of 10% L.C.D. and 0.1% triamcinolone cream.
FOOTNOTE
Line 21. The heading Impression was added.
Line 28. Alternative: LCD or liquor carbonis detergens.
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