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Clinical Case: Dermatological Condition with Systemic Implications in Primary Care

This case involves a 55-year-old female patient presenting with a dermatological condition that carries potential systemic repercussions—an important consideration for primary care providers.

The patient’s medical history includes hypertension and chronic obstructive pulmonary disease (COPD). She is a smoker, averaging 10 cigarettes per day, and has no known drug allergies. Her long-term medications include enalapril, taken consistently over the past six years, and inhaled formoterol, used for the last two years to manage her COPD.

Recently, due to a deterioration in her respiratory condition, her pulmonologist revised her treatment plan. Formoterol was discontinued, and a combination therapy of inhaled indacaterol and glycopyrronium capsules was initiated to better control her pulmonary symptoms.

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