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Updated: May 24, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Pediatric psoriasis
Angie L Busch1, Jennifer M Landau, Megan N Moody
1DermSurgery Associates, Houston, TX, USA.
Insights
Pediatric psoriasis, including plaque and guttate types, involves genetics and triggers. Treatment focuses on topical therapies, systemic agents for severe cases, and supportive care for children.
Area of Science:
- Pediatric Dermatology
- Autoimmune Diseases
- Genetics and Immunology
Background:
- Psoriasis presents in various forms in children, with plaque and guttate being most common.
- The autoimmune condition arises from a combination of genetic predisposition and environmental factors.
- Identifying and removing triggers is crucial alongside symptom management.
Purpose of the Study:
- To outline the common variants of pediatric psoriasis.
- To discuss the etiological factors contributing to childhood psoriasis.
- To present current therapeutic strategies for managing psoriasis in children.
Main Methods:
- Review of common pediatric psoriasis types (plaque, guttate, diaper rash, pustular, erythrodermic).
- Discussion of genetic and environmental influences on disease development.
- Analysis of treatment approaches, including topical and systemic medications.
Main Results:
- Plaque, guttate, and psoriatic diaper rash are the most frequent pediatric psoriasis forms.
- Genetic susceptibility and environmental triggers are key contributors.
- Topical treatments are primary, with systemic agents reserved for severe presentations.
Conclusions:
- Effective pediatric psoriasis management requires a comprehensive approach.
- Treatment plans should integrate symptom relief, trigger identification, and patient education.
- Supportive care is an essential component of managing childhood psoriasis.
Abstract:
Several variants of psoriasis are seen in children, the most prevalent types include plaque, guttate, and psoriatic diaper rash; pustular and erythrodermic psoriasis are less frequently observed. Genetic susceptibility and environmental triggers are both involved in the development of this autoimmune disease. As well as improving symptoms, a treatment plan should strive to identify and eliminate precipitating factors. Topical medications are the first choice therapy for children with psoriasis. Systemic agents are used to treat more severe cases. Patient education and supportive care should be incorporated into the treatment plan.
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