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Updated: Jun 21, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Management of childhood psoriasis
1University of California, San Francisco, 1701 Divisadero Street, Box 0316, San Francisco, CA 94115, USA. cordorok@derm.ucsf.edu
Insights
Treating pediatric psoriasis requires specialized knowledge of its unique presentation and therapies. More research is needed on the long-term effects and optimal management strategies for children with psoriasis.
Area of Science:
- Pediatric Dermatology
- Immunodermatology
Background:
- Psoriasis in children presents unique challenges in diagnosis and management.
- Effective treatment requires comprehensive knowledge of pediatric-specific clinical presentations and therapeutic options.
Purpose of the Study:
- To highlight the complexities of treating pediatric psoriasis.
- To emphasize the need for further research into the epidemiology, natural history, and treatment efficacy in children.
Main Methods:
- Review of current understanding of pediatric psoriasis management.
- Emphasis on the need for longitudinal studies and multidisciplinary collaboration.
Main Results:
- Pediatric psoriasis management demands significant clinician expertise and patient-centered care.
- Current therapeutic strategies require careful consideration of action spectrum, toxicity, and monitoring.
Conclusions:
- Longitudinal studies are crucial for understanding pediatric psoriasis.
- Establishing strong therapeutic alliances and utilizing patient advocacy groups enhances care.
- Adaptive follow-up schedules are essential as the child's condition evolves.
Abstract:
Treating children with psoriasis represents one of the most rewarding yet constantly challenging endeavors in dermatology. These patients require time, energy, enthusiasm, empathy, and current, comprehensive knowledge of the unique clinical presentations in children and available therapies, including clinical action spectrum, mechanism of action, potential toxicity, and monitoring. Longitudinal trials examining the epidemiology and natural history of psoriasis, as well as the safety and efficacy of current and emerging treatments, are desperately needed in the pediatric population. Partner with the patient, family, and other multidisciplinary providers to form an educational and therapeutic alliance. Early in the course of disease, schedule frequent visits for reinforcement of the therapeutic plan, education, clinical and treatment monitoring, and support. As the disease and the patient's physical, psychosocial and emotional level of functioning evolve, so too will the requirement for follow-up and monitoring. Patient advocacy and education groups, such as the National Psoriasis Foundation (www.psoriasis.org; 800-723-9166) are excellent resources and can serve as an extension of your comprehensive care.
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