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A Patient with Severe, Recalcitrant Psoriasis Has Tried Topical Medications

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A patient with severe, recalcitrant psoriasis has tried topical medications, intralesional steroid injections, and phototherapy with ultraviolet B light without consistent improvement in symptoms. What is the next step in treating this patient?


Definitions:

Concrete Operational Thought

A stage in Jean Piaget's theory of cognitive development where children aged 7 to 11 years start to understand logical operations and are no longer fooled by appearances.

Logical Operations

The mental processes involved in reasoning and understanding complex concepts through logical thought.

Reasoning

The process of thinking about something in a logical way to form a conclusion or judgment.

Egocentric Thought

a cognitive perspective where an individual perceives the world solely from their own point of view, often seen in early childhood development.

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