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Updated: Jun 25, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Pediatric psoriasis: updates in biologic therapies
Smita V Sukhatme1, Alice B Gottlieb
1Department of Dermatology, Tufts Medical Center and Tufts University School of Medicine, 800 Washington Street, Boston, MA 02111, USA.
Pediatric psoriasis, especially moderate-to-severe cases, lacks FDA-approved systemic treatments. Tumor necrosis factor (TNF)-alpha inhibitors show promise, drawing from their success in other pediatric autoimmune diseases.
Area of Science:
- Pediatric dermatology
- Immunology
- Rheumatology
Background:
- Psoriasis affects children, necessitating early intervention to mitigate physical and psychological impacts.
- Moderate-to-severe pediatric psoriasis presents treatment challenges, with limited FDA-approved systemic options beyond topical corticosteroids.
- Adult treatments may carry higher risks for pediatric patients.
Purpose of the Study:
- To review current data on tumor necrosis factor (TNF)-alpha inhibitors for pediatric psoriasis.
- To examine the evidence supporting biologic approvals in other pediatric autoimmune conditions.
Main Methods:
- Literature review of studies on TNF inhibitors in pediatric psoriasis.
- Analysis of clinical trial data for biologics in pediatric autoimmune diseases.
Main Results:
- Advances in biologic therapies, particularly TNF-alpha inhibitors, offer new avenues for pediatric psoriasis treatment.
- Data from other pediatric autoimmune diseases inform the potential use and safety of biologics in psoriasis.
Conclusions:
- TNF-alpha inhibitors represent a significant therapeutic advance for moderate-to-severe pediatric psoriasis.
- Further research and clinical application of biologics are crucial for improving outcomes in young psoriasis patients.
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