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Though anti TNF can be miraculous, it is mainly used in extensive diseses and not as a first line therapy in psoriasis.
Not as a first line therapy in psoriasis
NOT AS FIRST LINE BUT LATER IF RESISTANT PSORIASIS
As anti-TNF agents which are called biological agents are so serious and the patient will experience many side effects and it's cost it's not the first line of treatment .
we can start with topical steroid , add systemic steroids , nicotineamide with tetracycline is tried in europe and many researches suggest it's use
