Question

A 48-year-old man with chronic plaque psoriasis affecting 15% of body surface and associated psoriatic arthritis has failed topical therapies and phototherapy. What is the most appropriate next step?

Accepted Answer

Consider systemic agents such as methotrexate in consultation with a specialist

Answer

Continue topical therapy only

Answer

Start long-term oral prednisolone

Answer

No treatment; the condition is cosmetic only

Answer

Topical antibiotics

Practice question

A 48-year-old man with chronic plaque psoriasis affecting 15% of body surface and associated psoriatic arthritis has failed topical therapies and phototherapy. What is the most appropriate next step?