Success of
Goeckerman treatment in 2 patients with psoriasis not responding to biological drugs.
The average length of
Goeckerman treatment was 20 days, and the only side effect was folliculitis, which occurred in 42%.
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.
For example, a physician treating a healthy adult with moderate to severe plaque psoriasis could turn to page 30 for an algorithm that begins with topical therapy, adds or switches to phototherapy, then incorporates a series of options that can be used alone or in combination: acitretin,
Goeckerman treatment, PUVA, methotrexate or cyclosporine, or even biologics.
The
Goeckerman treatment is named after the Mayo Clinic dermatologist who first reported it in 1925.
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.