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Updated: Mar 11, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Phototherapy with Narrow-Band UVB in Adult Guttate Psoriasis: Results and Patient Assessment
Montserrat Fernández-Guarino1, Sonsoles Aboín-González, Diana Velázquez
1Department of Dermatology, Hospital Universitario Sanitas La Zarzuela, Madrid, Spain.
Background:
Acute guttate psoriasis (AGP) is a distinctive clinical entity with good response to treatment with narrow-band ultraviolet B (NB-UVB).
Objective:
To investigate the results of NB-UVB phototherapy in adult patients with adult guttate psoriasis.
Material And Methods:
We carried out a prospective, open, and observational study. Patients over 18 years with more than 5% of body surface area affected were included. The PASI was assessed prior to and after treatment. The follow-up period was 18 months. After treatment, patients completed a simple questionnaire to assess their overall impression of the treatment.
Results:
The 67 adult patients with AGP included in this study had an initial PASI of 8.55 (SD 5.03). Patients were treated with a mean of 19.9 sessions (SD 13.5) and mean doses of 14 mJ/cm2 (SD 10.5). Of the 67 patients, 52 achieved PASI90 with 96.15% of PASI reduction, and of these, 46 (88%) maintained PASI90 during the 18 months of follow-up. Patients were very satisfied with the treatment.
Discussion:
AGP is a defined clinical entity with a variable course. Phototherapy with NB-UVB appears to be a very good option for treatment of AGP because of the good results obtained and patient satisfaction.

