Question

A 36-year-old with chronic plaque psoriasis affecting extensor surfaces and scalp seeks topical therapy. First-line regimen?

Accepted Answer

Combination of vitamin D analogue with potent topical corticosteroid (separate or fixed combination)

Answer

Emollients alone

Answer

Topical potent corticosteroid alone daily for months

Answer

Vitamin D analogue (calcipotriol) alone daily for months

Answer

Systemic methotrexate first-line for all

Practice question

A 36-year-old with chronic plaque psoriasis affecting extensor surfaces and scalp seeks topical therapy. First-line regimen?