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Updated: Jun 6, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
11:39

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

Published on: July 11, 2013

Update on pediatric psoriasis, Part 2: Therapeutic management

Nanette B Silverberg1

  • 1Pediatric and Adolescent Dermatology, St. Luke's-Roosevelt Hospital Center, 1090 Amsterdam Ave, Ste 11D, New York, NY 10025, USA. nsilverb@chpnet.org

Cutis
|December 15, 2010
PubMed

Insights

Pediatric psoriasis, an autoimmune condition, requires prompt treatment to mitigate psychological effects in children. Management strategies vary based on disease severity and joint involvement.

Area of Science:

  • Immunology
  • Dermatology
  • Pediatrics

Background:

  • Pediatric psoriasis is an autoimmune disorder with complex immunologic underpinnings.
  • It is frequently linked to significant psychological distress in affected children.
  • Upper respiratory tract infections are a common trigger for childhood psoriasis.

Purpose of the Study:

  • To outline the management of pediatric psoriasis.
  • To emphasize the importance of addressing psychological morbidity in children with psoriasis.
  • To review current and emerging treatment options.

Main Methods:

  • Treatment selection is guided by disease severity and the presence of joint involvement.
  • Topical treatments include corticosteroids and calcipotriene.
  • Systemic therapies such as UV light, retinoids, cyclosporine, methotrexate, and etanercept are employed.

Main Results:

  • Various therapeutic agents effectively manage cutaneous psoriatic lesions.
  • Methotrexate sodium and etanercept demonstrate efficacy in treating both skin and joint manifestations.
  • Prompt and effective treatment is crucial for limiting psychologic effects.

Conclusions:

  • Effective management of pediatric psoriasis necessitates a comprehensive approach.
  • Addressing psychological symptoms and supporting psychological growth is vital.
  • Treatment strategies should be tailored to individual patient needs, considering disease severity and comorbidities.

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