Question

A 46-year-old man presents with a red, scaly, well-demarcated plaque on the extensor surface of his elbows and knees, associated with silvery scale. He has no systemic symptoms. What is the most appropriate initial management in primary care?

Accepted Answer

High-potency topical corticosteroid with or without vitamin D analogue

Answer

Systemic methotrexate immediately

Answer

Oral prednisolone long term

Answer

Topical antifungal cream

Answer

No treatment; reassure only

Practice question

A 46-year-old man presents with a red, scaly, well-demarcated plaque on the extensor surface of his elbows and knees, associated with silvery scale. He has no systemic symptoms. What is the most appropriate initial management in primary care?