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Updated: Aug 11, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
The treatment of psoriasis and psoriatic arthritis: an interdisciplinary approach
Kenneth B Gordon1, Eric M Ruderman
1Division of Dermatology, Evanston Northwestern Healthcare, Skokie, Illinois 60077, USA. kgordon@enh.org
Abstract:
Psoriatic arthritis is a common inflammatory arthritis associated with psoriasis, occurring in 5% to 40% of patients with cutaneous disease. Recently, there has been an increased appreciation of the need to use an integrated approach to these 2 diseases, considering both entities when determining therapeutic choices. In this review, the available therapeutic options for psoriatic arthritis are considered, along with the potential benefit that these medications may have for cutaneous psoriasis. Finally, a conceptual model for the therapy of psoriasis and psoriatic arthritis, the Four Quadrant Model, is presented as a simplified framework to use when considering treatment for psoriatic disease.
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