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Updated: Jul 10, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
11:39

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

Published on: July 11, 2013

Childhood psoriasis

Sandrine Benoit1, Henning Hamm

  • 1Department of Dermatology, University of Würzburg, D-97080 Würzburg, Germany.

Clinics in Dermatology
|November 21, 2007
PubMed

Insights

Psoriasis often begins in childhood with atypical symptoms, making diagnosis challenging. Pediatric psoriasis management requires specialized approaches due to treatment limitations and the lifelong nature of the disease.

Area of Science:

  • Pediatric Dermatology
  • Autoimmune Diseases
  • Clinical Pediatrics

Background:

  • Psoriasis onset can occur in childhood, affecting approximately one-third of patients during their first or second decade of life.
  • Early-stage pediatric psoriasis may present with atypical or mild symptoms, complicating accurate diagnosis.
  • Plaque psoriasis is the predominant form in children, though lesions tend to be smaller, thinner, and less scaly compared to adult presentations.

Purpose of the Study:

  • To highlight the unique clinical manifestations of psoriasis in children and adolescents.
  • To discuss the specific challenges and considerations in managing pediatric psoriasis.
  • To emphasize the need for specialized support for children with psoriasis and their families.

Main Methods:

  • Review of clinical presentations in pediatric psoriasis patients.
  • Analysis of treatment options and their applicability in childhood.
  • Consideration of the psychosocial impact and support needs for affected children and parents.

Main Results:

  • Pediatric psoriasis frequently presents atypically, posing diagnostic difficulties.
  • Childhood psoriasis lesions often differ in morphology from adult lesions.
  • Limited approved therapeutic options and potential side effects complicate pediatric psoriasis treatment.

Conclusions:

  • Psoriasis in children and adolescents requires tailored diagnostic and management strategies.
  • The lifelong nature of psoriasis necessitates comprehensive support systems for young patients and their families.
  • Further research into safe and effective pediatric psoriasis treatments is warranted.

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