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Updated: May 25, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Consensus guidelines for the management of plaque psoriasis
Sylvia Hsu1, Kim Alexander Papp, Mark G Lebwohl
1Department of Dermatology, Baylor College of Medicine, Houston, TX 77030, USA. shsu@bcm.edu
Updated Canadian guidelines for plaque psoriasis management now include new treatments like ustekinumab and excimer laser therapy. They also cover special patient populations and considerations for tumor necrosis factor blockers, surgery, and vaccinations.
Area of Science:
- Dermatology
- Clinical Guidelines
Background:
- Plaque psoriasis requires updated management strategies.
- New therapeutic agents and treatment modalities are available.
Purpose of the Study:
- To update the Canadian Guidelines for the Management of Plaque Psoriasis.
- To incorporate recent advancements and US-based treatment patterns.
Main Methods:
- Review of existing Canadian guidelines.
- Inclusion of newly approved agents (e.g., ustekinumab).
- Adaptation to reflect US practice patterns (e.g., excimer laser).
Main Results:
- Guidelines updated to include ustekinumab and excimer laser.
- Special populations addressed: children, pregnant patients, nursing mothers, elderly.
- Considerations for patients with viral infections (HBV, HCV, HIV), neoplasms, and elective surgery included.
Conclusions:
- Comprehensive update to plaque psoriasis management guidelines.
- Addresses diverse patient groups and emerging treatments.
- Provides current recommendations for clinical practice.
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