If a psoriasis patient presents with latent tuberculosis, do you switch biologics or optimize topicals? Adam Friedman, MD, Professor and Chair of Dermatology at the George Washington University School of Medicine & Health Sciences in Washington, DC, and Dermatology Nurse Practitioner Melodie Young, MSN, ANP-c, a Dermatology Nurse Practitioner at Modern Dermatology, a Baylor-Health Texas Affiliate in Dallas, TX, discuss their approaches to a treating a 52-year-old woman with a history of psoriasis and psoriatic arthritis who had latent tuberculosis.