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Methods of Documentation VI: Case Management Model

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Related Experiment Video

Updated: May 16, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
11:39

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

Published on: July 11, 2013

A Delphi Consensus Approach to Challenging Case Scenarios in Moderate-to-Severe Psoriasis: Part 1.

Bruce E Strober1, Jennifer Clay Cather, David Cohen

  • 1Department of Dermatology, University of Connecticut School of Medicine, Farmington, CT 06032 USA.

Dermatology and Therapy
|December 4, 2012
PubMed
Summary

Expert guidelines were developed using the Delphi method to address complex psoriasis cases often excluded from traditional trials. These guidelines help physicians manage difficult-to-treat psoriasis scenarios effectively.

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Last Updated: May 16, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
11:39

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

Published on: July 11, 2013

Measuring Psoriasis Severity at Home
02:28

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Published on: March 1, 2024

Area of Science:

  • Dermatology
  • Clinical Medicine

Background:

  • Traditional clinical trials for psoriasis often exclude patients with complex conditions and comorbidities.
  • A panel of 14 psoriasis experts convened to address this gap.

Purpose of the Study:

  • To identify difficult-to-treat psoriasis clinical scenarios.
  • To rank optimal treatment approaches for these challenging cases.

Main Methods:

  • A Delphi method exercise involving survey questionnaires and a live meeting.
  • Review and discussion of data available up to 2009.
  • Identification of 70 difficult scenarios, with 24 selected for detailed discussion.

Main Results:

  • Six complex case scenarios were presented: psoriasis with HPV-induced dysplasia, concomitant psoriasis and systemic lupus erythematosus, severe psoriatic nail disease, psoriasis therapies impacting cardiovascular health, psoriasis in older adults (≥65 years), and severe, refractory scalp psoriasis.
  • These represent challenging patient profiles frequently encountered in clinical practice.

Conclusions:

  • The Delphi exercise successfully generated consensus-based guidelines.
  • These guidelines aim to assist practicing physicians in managing challenging psoriasis patients.