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Updated: Jan 5, 2026
11:39
The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
39.4K
Proactive treatment in childhood psoriasis.
1Dermatology Department, hôpital Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France.
Annales De Dermatologie Et De Venereologie
|October 14, 2019
Summary
A proactive approach to managing childhood psoriasis focuses on anticipating disease progression. This strategy aims to limit flare-up severity and incidence, improving children's quality of life.
Area of Science:
- Dermatology
- Pediatrics
- Immunology
Background:
- Psoriasis affects 0.5% of children, requiring ongoing management.
- Current treatments include topical, phototherapy, and systemic options (conventional and biologic).
- Long-term care emphasizes maintaining efficacy, preventing relapse, and minimizing treatment toxicity for improved quality of life.
Purpose of the Study:
- To propose a proactive management strategy for pediatric psoriasis.
- To distinguish proactive care from reactive support.
- To provide an overview based on existing data and clinical experience.
Main Methods:
- Review of existing literature on adult psoriasis and atopic dermatitis in children.
- Proposal of a proactive management framework for pediatric psoriasis.
- Focus on four key precepts: therapeutic education, trigger prevention, proactive topical therapy, and proactive systemic therapy.
Main Results:
- Proactive management involves educating patients, preventing triggers (stress, diet, obesity), and optimizing topical/systemic therapies.
- Strategies include dose reduction, interval adjustments, and "weekend therapy" to enhance safety and reduce cumulative doses.
- Comprehensive care must involve the child's environment.
Conclusions:
- A proactive approach to pediatric psoriasis can reduce flare-up duration and severity.
- This strategy aims to improve long-term treatment adherence and patient quality of life.
- Simple measures can ensure effective, long-term psoriasis management in children.
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