psoriasis

Question 1

Mx

Answer 1

regular emollients always

1st line: potent corticosteroids applied once daily plus vitamin d analogue applied once daily

2nd line: no improvement after 8 weeks then vitamin d analogue BD

3rd line: no improvement 8-12 weeks potent corticosteroids applied bd for 4 weeks or coal tar or short acting dithranol

Phototherapy

Systemic therapy - methotrexate

Question 2

scalp psoriasis management

Answer 2

potent topical corticosteroid od 4 weeks

if no improvement change form of steroid

Question 3

mx of face, flexural and genital psoriasis

Answer 3

mild to mod potency corticosteroid od or bd for 2 weeks

Question 4

example of vitamin d analogue

Answer 4

calcipotriol