A patient with a known case of chronic plaque psoriasis with more than 50% skin involvement presents to you. Which of the following will you not recommend?

a. Oral Methrotrexate
b. UV B
c. Oral Steroids
d. Oral Cyclosporine

Answer is C. 

Body surface area (BSA) affected can be classified as:

• Mild psoriasis: < 5% of BSA
• Moderate psoriasis: 5%-10% of BSA
• Severe psoriasis: > 10% of BSA.

Treatment for GPP in adults: 

• Oral/systemic steroids are not used in the management of Chronic plaque Psoriasis. Topical steroids may be used.
• The only indication of using systemic steroids in psoriasis is impetigo herpetiformis 

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