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Updated: May 17, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Psoriasis during natalizumab treatment for multiple sclerosis
Jorge Millán-Pascual1, Laura Turpín-Fenoll, Pablo Del Saz-Saucedo
1Department of Neurology, Hospital General de Tomelloso, Tomelloso, Ciudad Real, Spain. jorge.millan.pascual@gmail.com
Psoriasis worsening is a potential rare side effect of natalizumab, a multiple sclerosis treatment. Clinicians should monitor for paradoxical autoimmune disease activation during natalizumab therapy.
Area of Science:
- Immunology
- Neurology
- Dermatology
Background:
- Beta-interferon therapy is a known psoriasis trigger in multiple sclerosis patients.
- The effect of other multiple sclerosis treatments on psoriasis is less understood.
Observation:
- A case report details a 31-year-old woman with psoriasis and relapsing-remitting multiple sclerosis.
- She experienced severe psoriasis worsening during natalizumab treatment, leading to a drug-resistant course.
Findings:
- Natalalizumab treatment may rarely cause psoriasis aggravation.
- This suggests a potential for paradoxical autoimmune disease activation.
Implications:
- Clinicians should consider psoriasis as a possible adverse effect of natalizumab.
- Awareness of this rare side effect is crucial for patient management in multiple sclerosis care.
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