Question

A 52-year-old man presents with a 3-month history of pruritic, erythematous, scaly plaques on the extensor surfaces of his elbows and knees. There is silvery scale and involvement of the scalp. No joint symptoms are reported. What is the most appropriate first-line management?

Accepted Answer

Potent topical corticosteroid with or without calcipotriol

Answer

Systemic methotrexate

Answer

Oral terbinafine

Answer

Oral prednisolone long term

Answer

Biologic anti-TNF therapy

Practice question

A 52-year-old man presents with a 3-month history of pruritic, erythematous, scaly plaques on the extensor surfaces of his elbows and knees. There is silvery scale and involvement of the scalp. No joint symptoms are reported. What is the most appropriate first-line management?