The following is a clinical case of a dermatological disease with systemic repercussions

that should be taken into account in the Primary Care consultation.

This is a 55-year-old woman with a medical history of high blood pressure and COPD.

She had no allergies, smoked 10 cigarettes a day, and had been on regular treatment with enalapril for the

past 6 years and inhaled formoterol for the past 2 years.

Due to a worsening of her lung disease, the pulmonologist decided to reinforce her inhalation treatment

by discontinuing formoterol and prescribing

a combination of indacaterol and glycopyrronium inhaled capsules