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Related Experiment Video

Updated: Jul 12, 2026

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

A practical guide to topical therapy in children

C C Long¹, C M Mills, A Y Finlay

¹Department of Dermatology, University of Wales College of Medicine, Heath Park, Cardiff, U.K.

The British Journal of Dermatology

|May 29, 1998

Summary

New guidelines help determine topical corticosteroid amounts for children with eczema. The fingertip unit (FTU) method accurately predicts required medication, simplifying treatment for parents and healthcare providers.

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Area of Science:

Pediatric Dermatology
Dermatological Therapeutics

Background:

Parents often struggle with appropriate topical therapy application for pediatric skin conditions.
Uncertainty exists regarding the precise quantity of topical corticosteroids for children.

Purpose of the Study:

To develop simple, accurate guidelines for topical therapy in children.
To validate these guidelines in clinical practice for pediatric patients.

Main Methods:

Guidelines based on adult fingertip unit (FTU), 'rule of 9s', and pediatric growth charts.
Recruitment of 24 children with atopic eczema (6 months to 9 years).
Calculation and comparison of predicted versus actual FTUs for topical application.

Main Results:

No child required more FTUs than predicted by the guidelines.
Predictions for each anatomical region were accurate within 1 FTU.
The developed guidelines accurately indicated the required amount of topical therapy.

Conclusions:

The proposed guidelines offer a reliable method for determining topical therapy dosage in children.
Advice sheets have been created to support age-appropriate application for pediatric patients.