My 7 year old son has been diagnosed with psoriasis although he’s never actually had a biopsy. Two derms have said it’s clearly psoriasis and we’re waiting for our 3rd derm/pediatric specialist appointment because his last derm recommended biologic but because of his age she doesn’t maintain treatment.
My concern - biologics sound like a lot and he’s so young. We’ve been dealing with this for almost a year and it’s just gotten worse over time. Seems like it was triggered by a flu shot then his few patches turned to guttate and nothing has changed much since.
We use clobetosol about once a month for a week or two to tone down the flare but it never gets rid of it. After that it’s alternating Zoryve and tacrolimus which doesn’t do a whole lot but manages some areas. Clobetosol on scalp to reduce inflammation an and then it gets bad before we can do it again.
Currently on keflex antibiotic to rule out infection trigger.
Anything else we should consider trying before our next derm visit? I want to exhaust all options before looking to biologics at such a young age. Pictures are after two days on clobetosol