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Updated: Jun 11, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Etanercept therapy for psoriasis in a patient with numerous comorbidities
Clara De Simone1, Angelo Carbone, Giacomo Caldarola
1Policlinico Universitario, Agostino Gemelli, Largo Agostino Gemelli 8, 00168 Rome, Italy. clara.desimone@rm.unicatt.it
Insights
Psoriasis patients with dilated cardiomyopathy may benefit from anti-tumour necrosis factor alpha (TNFalpha) agents. Etanercept showed effectiveness and safety in treating severe psoriasis in a patient with this comorbidity.
Area of Science:
- Cardiology
- Dermatology
- Immunology
Background:
- Psoriasis is linked to dilated cardiomyopathy.
- Tumour necrosis factor alpha (TNFalpha) may contribute to dilated cardiomyopathy development.
- Anti-TNFalpha therapies are potential treatment options for dilated cardiomyopathy.
Observation:
- A 51-year-old woman with severe psoriasis and comorbidities, including dilated cardiomyopathy, was treated with etanercept.
- The patient experienced rapid improvement in psoriasis symptoms.
Findings:
- Etanercept treatment was safe and effective for severe psoriasis.
- No adverse effects on the patient's comorbidities, including dilated cardiomyopathy, were observed.
Implications:
- Anti-TNFalpha agents like etanercept may be a viable treatment option for psoriasis patients with dilated cardiomyopathy.
- Further research into the cardiovascular safety and efficacy of anti-TNFalpha agents in psoriatic patients is warranted.
Abstract:
A recent study demonstrated an association between psoriasis and dilated cardiomyopathy. Tumour necrosis factor alpha (TNFalpha) may be involved in the pathogenesis of dilated cardiomyopathy and therefore, anti-TNFalpha agents may play a role in the treatment of dilated cardiomyopathy. The case of a 51-year-old woman with severe psoriasis and numerous comorbidities including dilated cardiomyopathy is described. During treatment with etanercept, the patient's psoriasis improved rapidly without any worsening of her other conditions. Etanercept was safe and effective in the treatment of severe psoriasis in a patient with numerous comorbidities, including dilated cardiomyopathy.
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