Moreover, in Goeckerman
therapy UVB treatment and coal tar treatment is used together as it is more effective than single therapy.
Kortuem KR, Davis MD, Witman PM, et al: Results of Goeckerman treatment for psoriasis in children: a 21-year retrospective review.
Psoriasisde fototerapi calismalari Yazarlar Hasta Sayisi Yas (yil) Tedavi Al Fouzan ve 20 5-12 UVB (7,6 hafta) ark (31) Tay ve ark (32) 10 -- Genisband UVB Ersoy-Evans ve 68 11-16 dbUVB (3 ay) ark (20) UVB (4 ay), Top PUVA (27,7ay) Jury ve ark (33) 35 416 dbUVB Pavlovsk ve 79 (88) 8-16 dbUVB (3,1 ay) ark (34) Jain ve ark (36) 20 6-14 dbUVB Kortuem ve ark (39) 65 Goeckerman (20 gun) Menter ve ark (40) 31 Goeckerman (12 gun) Yazarlar Doz (mj/[cm.
regimen, a combination of topical tar and ultraviolet light therapy in use since the 1920s, proved "exceptionally" effective and durable, she noted, with an average time of 18 days to 90% clearing of lesions and 90% of patients remaining clear for up to 8 months.
In a study of Goeckerman therapy , the clinical superiority of tar in combination with UVB, compared with emollients plus UVB radiation was demonstrated.
Goeckerman therapy may have produced folliculitis in a few patients but this reaction subsided promptly if tar was discontinued .
This perception is supported by the work of Goeckerman
The induction dosage of 50 mg twice weekly for etanercept (Enbrel) is similar in efficacy to UVB, but probably inferior to PUVA, cyclosporine, high-dose methotrexate, Goeckerman
treatment, or retinoids plus PUVA.
Psoriasis patients were hospitalized for 2 to 3 weeks, black tar was put on them, and lights were shone on them--the Goeckerman treatment.
The Goeckerman regimen in two psoriasis day care centers.
A physician treating a healthy adult with moderate to severe plaque psoriasis, for example, could turn to page 30 for an algorithm that begins with topical therapy adds or switches to phototherapy then uses other options alone or in combination: acitretin, Goeckerman
treatment, PUVA, methotrexate or cyclosporine, or biologics.
Genis bant en cok Goeckerman
(Katran + UVB) metodu ile kullanilir.