A 45-year-old patient with no prior skin problems presents with this new rash and review of system is positive for finger joint pain and swollen fingers. The pain is worse in the morning and improves as the day goes on. A thorough review of the patient’s medical history and labs were negative for HIV, hepatitis B and C, renal and hepatic dysfunction. What medication is the most appropriate in this scenario?

A. Acitretin

B. Methotrexate (MTX)

C. Cyclosporine A (CsA)

D. Risankizumab

E. Narrow band UVB (NB-UVB)

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