A Child Who Has Psoriasis, Who Has Been Using a Moderate-Potency

question 17

Multiple Choice

A child who has psoriasis, who has been using a moderate-potency topical steroid on thick plaques on the extremities and a high-potency topical steroid on more severe plaques on the elbows and knees, continues to have worsening of plaques. In consultation with a dermatologist, which treatment will be added?

• A) Anthralin ointment in high strength applied for 10 to 30 minutes daily
• B) Calcipotriol cream applied liberally each day to the entire body
• C) Oral steroids and methotrexate therapy until plaques resolve
• D) Wideband ultraviolet therapy for 15 minutes twice daily