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Updated: Jun 26, 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

Intertriginous pustular psoriasis

Jane S Bellet1, Sarah L Chamlin, Albert C Yan

  • 1Departments of Dermatology and Pediatrics at Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA.

Journal of the American Academy of Dermatology
|January 31, 2009
PubMed

Insights

Infantile pustular psoriasis, often misdiagnosed, presents as neck rashes. This condition may indicate widespread psoriasis development later in life.

Area of Science:

  • Dermatology
  • Pediatrics

Background:

  • Infantile pustular psoriasis is a rare condition.
  • It often presents as erythematous papules or pustules on the neck and intertriginous areas.

Observation:

  • Six infant cases are described, with initial misdiagnoses including dermatitis or infections.
  • Biopsy confirmed pustular psoriasis in five of six infants.

Findings:

  • Psoriasis became widespread in four cases over time.
  • Treatment involved topical and systemic therapies, with some cases being recalcitrant.

Implications:

  • Pustular psoriasis should be considered in infants with intertriginous papulopustular eruptions.
  • Infantile-onset intertriginous pustular psoriasis may predict future widespread disease.

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