QuestionSBA
QuestionChoice
If there is a poor response after the initial four weeks of treatment with no obvious explanation then stopping the potent corticosteroid and only applying a topical vitamin D preparation twice a day for up to 12 weeks can be considered. It is not used alone as an initial flare-up treatment.
10005339
d
Topical vitamin D preparation alone
QuestionChoice
Courses of topical treatments (including corticosteroids) are used as needed to maintain satisfactory control of psoriasis, reinforcing the advice on the safe use of potent topical corticosteroids. For significant flares, a topical Vitamin D preparation should be used as well.
10005338
c
Potent topical corticosteroid alone
QuestionChoice
This would only be offered if there is still a poor response after eight to twelve weeks of treatment with a vitamin D preparation alone twice a day.
10005340
e
Coal tar preparation
QuestionChoice
This is generally considered if the scale is the primary problematic feature of the psoriasis, which is specifically mentioned not to be the case here.
10005337
b
Salicylic acid preparation
QuestionChoice
According to the current NICE CKS guidance on trunk and limb psoriasis, the first-line treatment for a flare of plaque psoriasis affecting extensors is a potent topical corticosteroid plus a topical vitamin D preparation (both applied once a day, but at different times of day). This is then reviewed at four weeks to assess the response of treatment. Generally, one should not prescribe potent corticosteroids for more than eight weeks at any one site.
10005336
a
Potent topical corticosteroid plus a separate topical vitamin D preparation
Concept
Chapter
2693
3914
psoriasis
Topic
144
Dermatology
13614
A 42-year-old male presents to his GP with a flare of his chronic plaque psoriasis on his knee. It is not significantly scaly. He is currently using over-the-counter emollients which control the plaque when not flared.

Which of the following is the most appropriate initial pharmacotherapy to treat his flare?
a