Question

A 35-year-old woman presents with 3-month history of pruritic papules on extensor elbows and knees, silvery scale on scalp, and nail pitting. What is the most appropriate first-line topical regimen?

Accepted Answer

Potent corticosteroid plus vitamin D analogue

Answer

Topical calcineurin inhibitor alone

Answer

Coal tar shampoo only

Answer

Oral methotrexate

Answer

Systemic retinoid

Practice question

A 35-year-old woman presents with 3-month history of pruritic papules on extensor elbows and knees, silvery scale on scalp, and nail pitting. What is the most appropriate first-line topical regimen?