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Updated: May 22, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
[Etanercept in juvenile psoriasis]
F C Beikert1, M Augustin, M A Radtke
1CeDeF - Competenzzentrum Dermatologische Forschung, IVDP - Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland. florian.beikert@uke.de
Etanercept effectively treated severe juvenile psoriasis in a small study, with most patients showing significant improvement. Further research is needed to confirm long-term safety and efficacy.
Area of Science:
- Pediatric Dermatology
- Immunology
- Pharmacology
Background:
- Psoriasis affects 0.71% of children, presenting a significant dermatological challenge.
- Severe pediatric psoriasis often requires advanced therapeutic options when conventional treatments fail.
Observation:
- Eight children with severe psoriasis, unresponsive to other therapies, received weekly subcutaneous etanercept (0.8 mg/kg).
- Pre-treatment screening excluded latent tuberculosis.
- Patients were monitored at weeks 4 and 12, and then every 12 weeks.
Findings:
- Six out of eight pediatric patients achieved a 75% reduction in Psoriasis Area and Severity Index (PASI) score within three months.
- Two patients discontinued treatment due to lack of efficacy by week 12.
- Observed adverse events were limited to local reactions and minor infections, with no serious adverse events reported.
Implications:
- Etanercept demonstrates potential as an effective treatment for juvenile psoriasis.
- Further investigation through patient registries and randomized controlled trials is essential to establish long-term efficacy and safety profiles.
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