Treatment Approaches in a Patient with Severe Inverse Psoriasis

An 80-year-old male with a history of severe psoriasis presents with intermittent irritation and itching of the genitals and scrotum despite his near complete skin clearance and resolution of joint pain with secukinumab treatment. He gets relief from a mid-potency topical steroid but is hesitant to use it too often out of fear of developing steroid-induced atrophy. He would like to discuss some non-steroid treatment approaches. You recommend: