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Updated: Jun 21, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Traditional systemic treatment of psoriasis
Gian Franco Altomare1, Andrea Altomare, Paolo Daniele Pigatto
1Dermatological Clinic, Department of Technology for Health, IRCCS Ospedale Galeazzi, 20161 Milan, Italy. gianfranco.altomare@unimi.it
Abstract:
Psoriasis is an inflammatory skin disease with a chronic relapsing course. In about 20%-30% of psoriatic patients, disease severity requires systemic treatment, which carries a huge economic and management burden for the healthcare system. The decision to employ systemic treatment, reserved for severe or extensive forms, needs to be weighed carefully and is influenced by factors from the host. Each form of treatment, i.e., photochemotherapy, cyclosporin A, methotrexate, acitretin - considered the traditional psoriatic treatments - should be evaluated for each specific clinical condition.
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