CASE REPORT article
Front. Med.
Sec. Dermatology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1684204
This article is part of the Research TopicExploring Innovative Therapies for Rare Inflammatory Skin DiseasesView all 16 articles
Semaglutide in the Treatment of a Patient with Type 2 Diabetes Mellitus, Psoriasis, and Metabolic Dysfunction-Associated Steatotic Liver Disease: A Case Report
Provisionally accepted- 900 Hospital of the Joint Logistics Team of the Chinese PLA, Fuzhou, China
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This case report highlights the therapeutic efficacy of semaglutide in a 49-year-old male with concurrent type diabetes mellitus (T2DM), psoriasis (PASI 22), and metabolic dysfunction-associated steatotic liver disease (MASLD). The patient presented with metabolic dysregulation, severe psoriatic lesions, and hepatic steatosis. Initial therapies, including acitretin and topical agents, failed to yield clinical improvement. Semaglutide was initiated at 0.25 mg/week, titrated to 1 mg/week over 12 weeks, alongside metformin dose adjustment. At 24 weeks, the patient exhibited significant improvements: HbA1c decreased from 9.8% to 7.2%, body weight reduced by 6 kg, liver enzymes returned to normal ranges, and PASI declined to 6.2. Treatment was well-tolerated with no severe adverse events.
Keywords: type 2 diabetes mellitus, Psoriasis, Semaglutide, A case report, Metabolic dysfunction-associated steatotic liver disease
Received: 12 Aug 2025; Accepted: 02 Sep 2025.
Copyright: © 2025 Lin, Huang, Weng and Lin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Lu Lin, 900 Hospital of the Joint Logistics Team of the Chinese PLA, Fuzhou, China
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