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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