The patient has a history of psoriatic arthritis. For this he has taken initially nonsteroidal anti-inflammatory drugs but, for the last 10 years, he has been on methotrexate 50 mg per week with good control of his arthritis, but with minimal control of his psoriasis. For this, he has undergone tar treatments, and currently uses intermittently topical steroid-containing creams.
He also has a history of thyroid insufficiency, and has been on Synthroid for the last 25 years.
Surgical history includes tonsils and adenoids resection at age 8, a torn meniscus at age 18, which was partially removed, and a torn left Achilles tendon, surgically repaired when he was 25 years old.