What is your approach to a young adult patient with significant nail psoriasis and not much cutaneous disease?

This is a great question and honestly it depends on how aggressive the patient wants to be. An algorithm could look like this but ultimately you’d discuss it with the patient and see where they stand:

1. Tazarotene +/- Calcipotriene during the week and clobetasol on weekends vs. taclonex or wynzora ev...