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Related Experiment Video

Updated: May 29, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

Published on: July 11, 2013

Pruritic rash on trunk.

Peter L Mattei¹, Ryan P Johnson, Thomas M Beachkofsky

¹2nd Air Refueling Squadron, Joint Base McGuire-Dix-Lakehurst, NJ, USA. peterlmattei@gmail.com

The Journal of Family Practice

|September 9, 2011

Summary

This summary is machine-generated.

A patient with a persistent skin condition found no relief from standard antifungal and steroid treatments. Further investigation revealed a serious underlying infectious cause, highlighting the need for thorough patient history in diagnosis.

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Published on: December 15, 2011

Area of Science:

Dermatology
Infectious Diseases
Medical Diagnostics

Background:

Standard treatments for superficial skin conditions often include topical antifungals and corticosteroids.
Persistent symptoms despite initial therapy warrant a re-evaluation of the diagnosis.
A detailed patient history is crucial for uncovering less common or serious underlying pathologies.

Observation:

The patient presented with a skin condition that was unresponsive to empirical treatment with topical antifungals and steroids.
A comprehensive review of the patient's medical history was conducted.

Findings:

The detailed history suggested a serious infectious etiology as the cause of the patient's persistent symptoms.
The initial diagnosis based on presentation may have been incomplete or incorrect.

Implications:

This case underscores the importance of considering serious infectious diseases even when initial presentations mimic common dermatological issues.
Clinicians should be prepared to delve deeper into patient history when standard treatments fail.
Accurate and timely diagnosis of infectious etiologies is critical for effective patient management and preventing complications.