Question

A 58-year-old man with chronic plaque psoriasis involving 15% of his body surface area has failed to respond to topical therapy and phototherapy. He has psoriatic arthritis with joint damage. What is the most appropriate next step in management?

Accepted Answer

Start systemic methotrexate under specialist supervision

Answer

Continue topical therapy alone

Answer

Begin long-term high-dose oral corticosteroids

Answer

Use coal tar only

Answer

Discontinue all treatment and monitor

Practice question

A 58-year-old man with chronic plaque psoriasis involving 15% of his body surface area has failed to respond to topical therapy and phototherapy. He has psoriatic arthritis with joint damage. What is the most appropriate next step in management?