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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?

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Mednet Member
Mednet Member
Dermatology · Emory University School of Medicine

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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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? | Mednet