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Updated: May 19, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Current and emerging systemic treatment strategies for psoriasis
1The University of Manchester, Manchester Academic Health Science Centre, Department of Dermatology, Salford Royal Hospital (Hope), Salford, Manchester, UK.
Systemic therapies for psoriasis, including biologics targeting specific immune pathways and new oral small molecules, offer improved disease control. These treatments advance psoriasis management by addressing its complex inflammatory nature.
Area of Science:
- Dermatology
- Immunology
- Pharmacology
Background:
- Psoriasis is a chronic inflammatory skin disease significantly impacting quality of life.
- Established systemic therapies possess immunosuppressive and anti-proliferative effects.
- Advances in understanding psoriasis pathogenesis reveal genetic, cellular, and immunological targets.
Purpose of the Study:
- To review current and emerging systemic treatments for psoriasis management.
- To highlight the role of biological therapies in targeting specific pathogenic components.
- To discuss the potential of small-molecule oral preparations.
Main Methods:
- Literature review of current and emerging systemic psoriasis treatments.
- Analysis of therapeutic targets based on advancements in psoriasis pathogenesis.
- Evaluation of biological and small-molecule therapies.
Main Results:
- Biological therapies, such as tumor necrosis factor (TNF)-α and interleukin (IL)-12/-23 inhibitors, show remarkable clinical responses in severe psoriasis.
- Development of other cytokine modulators is underway.
- Small-molecule oral preparations targeting intracellular signaling pathways are emerging.
Conclusions:
- Biological therapies have transformed severe psoriasis treatment by targeting key pathogenic pathways.
- Emerging small-molecule drugs offer new avenues for psoriasis control.
- Continued research into psoriasis pathogenesis drives the development of novel systemic treatments.
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