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MediumDermatologyChronic plaque psoriasisau-amcau-racgpau-racp

A 29-year-old woman presents with erythematous, scaly plaques on elbows and knees, consistent with chronic plaque psoriasis affecting about 8% of her body surface area. Topical corticosteroids and vitamin D analogues have been inadequate. She has no active infection or liver disease. According to Australian psoriasis guidelines, what is the most appropriate next-line systemic therapy?

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