'Ultra' Goeckerman Therapy for Psoriasis

Title: Modern modified 'ultra' Goeckerman therapy: a PASI assessment of a very effective therapy for psoriasis resistant to both prebiologic and biologic therapies.
: Lee E and Koo J.
Publication: J Dermatolog Treat. 2005 Apr;16(2):102-7.

Introduced by Dr. Goeckerman in 1930s, modern modified Goeckerman therapy has shown increased efficacy due to improvements in technology, such as narrowband ultraviolet B, and the addition of other safe therapeutic options for treating psoriasis.

In this study, the authors followed 25 psoriasis patients for approximately 6 months from admission to discharge or end of treatment. 95% of patients reached PASI (Psoriasis Area and Severity Index) 75 by 8 weeks and all 100% reached this level by 12 weeks. Most of the patients were discharged within 2 months.

The author concluded that the onset of treatment effect was very quick and that Goeckerman therapy remained a valuable treatment for psoriasis.

Editor’s Note: Gockerman treatment is considered one of the safest and most effective treatment for moderate to severe psoriasis. It combines coal tar ointment with phototherapy or light therapy using narrowband ultraviolet B (UVB) light. The exact mechanism of how coal tar works is not yet known, it is thought that it can decrease inflammation and slow the growth of skin cells. UVB light also slow the growth of skin cells, and it does so with less risk of skin cancer associated with ultraviolet A (UVA) light.

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