Question

A 50-year-old man presents with a pruritic, well-demarcated erythematous plaque with silvery scale on his elbows and knees. There is no systemic involvement. What is the most appropriate first-line treatment?

Accepted Answer

High-potency topical corticosteroid with or without vitamin D analogue

Answer

Systemic methotrexate

Answer

Long-term oral prednisolone

Answer

Biologic anti-TNF therapy

Answer

Narrow-band UVB phototherapy as monotherapy for small limited plaques

Practice question

A 50-year-old man presents with a pruritic, well-demarcated erythematous plaque with silvery scale on his elbows and knees. There is no systemic involvement. What is the most appropriate first-line treatment?