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Updated: Aug 10, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Sequential therapy using cyclosporine and acitretin for treatment of total body psoriasis
Matthew W Short1, Thomas K Vaughan
1Department of Family Practice, Bayne-Jones Army Community Hospital, Fort Polk, Louisiana, USA.
Abstract:
Systemic sequential therapy using cyclosporine and acitretin is a novel strategy that can provide quick resolution and maintenance in refractory cases of psoriasis. We describe the case of a patient with a psoriatic flare over 98% of his body, despite methotrexate therapy. Implementing sequential therapy with cyclosporine and acitretin maximized the benefit of each treatment and allowed for rapid improvement with minimal risk of toxicity.
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