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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

Published on: July 11, 2013

Recommendations for adjunctive basic skin care in patients with psoriasis.

Thomas Luger¹, Sophie Seite², Philippe Humbert³

¹Department of Dermatology, University of Muenster, Muenster, Germany.

European Journal of Dermatology : EJD

|April 12, 2014

Summary

Basic topical treatments like emollients are crucial for managing psoriasis by improving skin barrier function and reducing inflammation. Consistent use enhances remission and complements pharmaceutical therapies for better disease control.

Keywords:

Psoriasis ceramides emollients keratolytics lipohydroxy acid urea

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Area of Science:

Dermatology
Immunology
Genetics

Background:

Psoriasis is a complex condition influenced by genetics and environmental factors, leading to skin and immune system issues.
Impaired skin barrier function in psoriasis exacerbates dryness and inflammation due to the release of pro-inflammatory mediators.
Basic topical treatments, such as emollients, are essential for managing psoriasis symptoms and maintaining skin health.

Purpose of the Study:

To offer guidance on using emollients (containing ceramides, urea, keratolytic agents, zinc salts, niacinamide), thermal water, and skincare products for psoriasis management.
To support physicians in integrating basic skincare into comprehensive psoriasis treatment plans.

Main Methods:

A literature review was conducted using Medline and Ovid databases.
The review covered studies published between 2000 and 2012.
A panel of five European dermatologists with expertise in psoriasis executed the review.

Main Results:

Basic topical therapy, whether standalone or as an adjunct, can effectively restore and protect the skin barrier.
Regular use of basic skincare can prolong remission periods between psoriasis flare-ups.
Adjuvant topical treatments enhance the efficacy of prescribed psoriasis medications.

Conclusions:

The study provides physicians with a practical tool for incorporating basic skincare into psoriasis management.
Implementing a structured approach to basic skincare can improve patient outcomes and disease control.