Question

A 40-year-old man with chronic plaque psoriasis affecting 15% body surface area, nail changes, and joint pain despite topical therapy presents to his GP. What is the most appropriate next step?

Accepted Answer

Refer to dermatology/rheumatology for consideration of systemic therapy

Answer

Continue topical therapy only

Answer

Start long-term high-dose oral steroids

Answer

Advise tanning bed use

Answer

No treatment needed as psoriasis is benign

Practice question

A 40-year-old man with chronic plaque psoriasis affecting 15% body surface area, nail changes, and joint pain despite topical therapy presents to his GP. What is the most appropriate next step?