What are the best biologics for a pediatric patient with extensive guttate psoriasis that is poorly controlled on topicals?

Fortunately, we have a number of options for treatment of pediatric psoriasis that work well. With a guttate presentation, I would always recommend sending a throat swab and checking perianal skin to rule out Group A Strep as clearing this is an important step in getting the psoriasis under control....

How old is the child? Ustekinumab (brand name Stelara) is a good choice because it doesn't require frequent injections and works really well, but due to cost insurance often won't cover it beyond your deductible until a patient has tried and failed something like adalimumab (brand name Humira) or es...