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Updated: Jun 19, 2025

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Apremilast treatment for pediatric inverse psoriasis
Jun Wang1, Yilu Zhao2, Ruzhi Zhang3
1Department of Dermatology, The Third Affiliated Hospital of Soochow University, Changzhou, China.
Apremilast effectively treated a 10-year-old boy's persistent genital inverse psoriasis lesions. This oral medication significantly reduced itching and cleared skin plaques, offering a new therapeutic avenue for pediatric patients.
Area of Science:
- Dermatology
- Pediatric Medicine
- Pharmacology
Background:
- Inverse psoriasis presents unique challenges in pediatric populations.
- Genital inverse psoriasis in children often requires novel treatment approaches.
- Limited research exists on systemic therapies for pediatric inverse psoriasis.
Observation:
- A 10-year-old male exhibited persistent, erythematous genital plaques.
- Lesions were unresponsive to conventional topical dermatological treatments.
- Apremilast was administered as an off-label therapeutic option.
Findings:
- Apremilast treatment led to significant pruritus reduction.
- Complete resolution of erythematous plaques was observed.
- The patient tolerated the medication well with no adverse events.
Implications:
- Apremilast shows potential efficacy for refractory pediatric inverse psoriasis.
- This case highlights apremilast as a viable treatment for challenging pediatric dermatoses.
- Further clinical trials are warranted to establish apremilast's safety and efficacy in children.
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