Question

A 44-year-old man has chronic plaque psoriasis affecting 8% of body surface area with nail pitting but no arthritis. There is no systemic illness. What is the most appropriate first-line therapy?

Accepted Answer

Topical corticosteroids and vitamin D analogue preparations

Answer

Systemic methotrexate

Answer

Biologic TNF-alpha inhibitor

Answer

Long-term oral corticosteroids

Answer

No treatment required

Practice question

A 44-year-old man has chronic plaque psoriasis affecting 8% of body surface area with nail pitting but no arthritis. There is no systemic illness. What is the most appropriate first-line therapy?