Question

A 45-year-old man presents with well-demarcated erythematous plaques with silvery scale on the extensor surfaces of his elbows and knees and the scalp. Nails show pitting. Which systemic therapy is most appropriate to consider if topical treatment fails and disease is moderate to severe?

Accepted Answer

Methotrexate

Answer

Long-term systemic corticosteroids

Answer

Allopurinol

Answer

Hydroxychloroquine

Answer

Oral terbinafine

Practice question

A 45-year-old man presents with well-demarcated erythematous plaques with silvery scale on the extensor surfaces of his elbows and knees and the scalp. Nails show pitting. Which systemic therapy is most appropriate to consider if topical treatment fails and disease is moderate to severe?