Moderate PsO: 7% BSA 40 yo WM with slowly progressive PsO over last 4 years On topical steroid therapy Tired of using topicals to treat increasing PsO burden and would be considered as having a “moderate” disease burden No PsA No comorbidities PMH: unremarkable SYSTEMIC THERAPIES: LIST ANY APPROPRIATE THERAPIES IN RANK ORDER

Severe PsO: 25% BSA Involvement 45 yo WF with a history of PsO x 8 years. Patient decided to go off her previous therapy and try “natural therapies, dietary changes and sunlight”. Notes significant worsening in last few months. No hx of PsA PMH: HTN, NIDDM, Obesity Currently on no systemic therapy due to a lapse in insurance coverage. SYSTEMIC THERAPIES: LIST ANY APPROPRIATE THERAPIES IN RANK ORDER

Scalp Psoriasis 35 yo WF with over 50% scalp involvement Limited PsO elsewhere No PsA Unable to control with tar and salicylic acid based shampoos, topical steroid liquids and overnight steroid-based scalp oil treatments Wishes to start systemic therapy SYSTEMIC THERAPIES: LIST ANY APPROPRIATE THERAPIES IN RANK ORDER

Severe Palmoplantar PsO 52 yo WM with severe, debilitating palmoplantar PsO in addition to scattered psoriatic plaques on trunk and extremities No PsA Tried topical high potency steroid therapies and hand/foot UV therapy Wants a systemic therapy SYSTEMIC THERAPIES: LIST ANY APPROPRIATE THERAPIES IN RANK ORDER