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Updated: Jun 21, 2026

Measuring Psoriasis Severity at Home
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Scalp psoriasis: European consensus on grading and treatment algorithm.

Jp Ortonne1, S Chimenti, T Luger

  • 1Centre Hospitalier Universitaire de Nice, Nice, France.

Journal of the European Academy of Dermatology and Venereology : JEADV
|July 21, 2009
PubMed
Summary

Scalp psoriasis presents unique challenges due to its location and patient discomfort. Potent topical corticosteroids in short-contact formulations are recommended as the most effective treatment for most patients with scalp psoriasis.

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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

Published on: July 11, 2013

Area of Science:

  • Dermatology
  • Psoriasis Research
  • Therapeutic Guidelines

Background:

  • Scalp psoriasis is a common and challenging manifestation of psoriasis.
  • Topical treatment application is difficult due to scalp inaccessibility and proximity to sensitive facial skin.
  • Existing treatment guidelines often neglect the specific challenges of scalp psoriasis.

Purpose of the Study:

  • To review current treatments for scalp psoriasis based on efficacy, safety, and convenience.
  • To establish definitions for mild, moderate, and severe scalp psoriasis.
  • To develop a treatment algorithm for scalp psoriasis management.

Main Methods:

  • International expert conference convened in Geneva, Switzerland, March 2008.
  • Review of available treatments including topical corticosteroids, vitamin D3 derivatives, salicylic acid, phototherapy, radiotherapy, and systemic therapies.
  • Agreement on definitions and development of a treatment algorithm.

Main Results:

  • Potent topical corticosteroids in short-contact formulations are indicated as the most appropriate first-line treatment for the majority of scalp psoriasis patients.
  • An agreed-upon treatment algorithm provides recommendations for mild, moderate, and severe scalp psoriasis.
  • Consideration of various treatment modalities, including newer biological agents for widespread disease.

Conclusions:

  • Effective management of scalp psoriasis requires addressing its unique challenges.
  • A structured treatment algorithm, prioritizing potent topical corticosteroids, can improve patient outcomes.
  • Further research and guideline development are needed to fully address scalp psoriasis management.