Diabetes Care
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Diabetes Care 31:e31 2008
DOI: 10.2337/dc08-0230
© 2008 by the American Diabetes Association
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Online Letters: Observations

Psoriatic Exacerbation Associated With Insulin Therapy

Allan F. Moore, MD1, Tiffany Soper, RN1, Natalie Jones, PA2, Joop Grevelink, MD2 and Nicolas Abourizk, MD1,3

1 Massachusetts General Hospital Diabetes Center, Massachusetts General Hospital, Boston, Massachusetts
2 Boston Dermatology & Laser Center, Boston, Massachusetts
3 Section of Endocrinology and Diabetes, Newton-Wellesley Hospital, Newton, Massachusetts

Corresponding author: Allan F. Moore, MD, MGH Diabetes Center, Massachusetts General Hospital, 55 Staniford St., 3rd Floor, Boston, MA 02114. E-mail: afmoore@partners.org

The first 20% of the full text of this article appears below.

We report the case of a 70-year-old male who presented with worsening psoriasis after initiating insulin therapy.

The patient, who had a 25-year history of type 2 diabetes with no complications and an A1C of 7.8%, took metformin for 20 years with stable umbilical psoriasis. He did not require psoriatic therapy before initiating insulin therapy.

In December 2006, the patient transitioned to glargine injections for a rising A1C. Two weeks later, psoriasis erupted on his abdomen and legs. He . . . [Full Text of this Article]


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