How do you approach a patient with scalp psoriasis who initially responds well to tildrakizumab but experiences a plateau in improvement or partial relapse after about 1 year?

Answer from: at Academic Institution

I have found that 50% TCA applied monthly x 2-3 months often gives long-term remission without hair loss.Bubley et al., PMID 34646928

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at Ginsburg Dermatology Center
Please tell us more. What is your protocol?