Acute Gout — MRCGP AKT MCQ

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HardRheumatologyAcute GoutMRCGP AKT PSA UKMLA PARA

A patient with psoriasis develops widespread erythema covering most of the body, fever, shivering and malaise. What is the safest action?

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Correct answer: E — Arrange emergency hospital assessment

The best answer is “Arrange emergency hospital assessment”. Generalised erythroderma with systemic symptoms is a potentially life-threatening psoriasis complication because of fluid, temperature and cardiovascular instability and infection risk. Emergency hospital and dermatology assessment is required. Systemic corticosteroid started without specialist direction can precipitate unstable psoriasis, and routine topical or ultraviolet care is inadequate.

Reference: NICE CG153: Psoriasis assessment and management: https://www.nice.org.uk/guidance/cg153/chapter/Recommendations