Goeckerman therapy: Difference between revisions

From WikiMD's Wellness Encyclopedia

CSV import
 
CSV import
 
Line 1: Line 1:
'''Goeckerman therapy''' is a type of [[psoriasis]] treatment that combines [[coal tar]] and [[ultraviolet B]] (UVB) light. Named after the American dermatologist [[William Goeckerman]], who developed the therapy in the 1920s, it is primarily used for patients with severe psoriasis.
== Goeckerman Therapy ==
 
[[File:William_H._Goeckerman,_MD.jpg|thumb|right|William H. Goeckerman, MD]]
 
'''Goeckerman therapy''' is a treatment regimen for [[psoriasis]] that combines the application of crude coal tar with exposure to [[ultraviolet light]]. This therapy was developed in the 1920s by [[William H. Goeckerman]], a dermatologist at the Mayo Clinic.


== History ==
== History ==


[[William Goeckerman]], a dermatologist at the [[Mayo Clinic]], developed this therapy in the 1920s. He discovered that coal tar made the skin more receptive to UVB light, which led to the development of the combined treatment.
Goeckerman therapy was first introduced by Dr. William H. Goeckerman in 1925. At the time, psoriasis was a challenging condition to treat, and Dr. Goeckerman's method provided a significant improvement in patient outcomes. The therapy was based on the observation that coal tar had been used for centuries to treat skin conditions, and ultraviolet light was known to have beneficial effects on psoriasis.


== Treatment ==
== Mechanism of Action ==


Goeckerman therapy involves the application of coal tar to the skin, followed by exposure to UVB light. The coal tar makes the skin more sensitive to the UVB light, which can penetrate deeper into the skin and slow the growth of affected skin cells.
The effectiveness of Goeckerman therapy is attributed to the synergistic effects of coal tar and ultraviolet light. Coal tar is believed to have anti-inflammatory and antiproliferative properties, which help to slow down the rapid growth of skin cells seen in psoriasis. Ultraviolet light, particularly [[UVB]], further aids in reducing inflammation and scaling.


== Effectiveness ==
== Procedure ==


Studies have shown that Goeckerman therapy is highly effective in treating severe psoriasis. It can clear psoriasis plaques and improve the quality of life for patients. However, the therapy requires daily treatments and can be time-consuming.
The Goeckerman regimen typically involves the daily application of crude coal tar to the affected areas of the skin, followed by exposure to UVB light. The treatment is usually conducted in a clinical setting, although home-based regimens have also been developed. The duration of the therapy can vary, but it often lasts for several weeks.
 
== Efficacy ==
 
Goeckerman therapy has been shown to be highly effective in clearing psoriasis lesions. Many patients experience significant improvement or complete remission of their symptoms. However, the therapy requires a considerable time commitment and can be messy due to the nature of coal tar.


== Side Effects ==
== Side Effects ==


Possible side effects of Goeckerman therapy include skin irritation, increased sensitivity to sunlight, and an increased risk of skin cancer due to the UVB light exposure.
Common side effects of Goeckerman therapy include skin irritation, folliculitis, and a strong odor from the coal tar. Long-term use of coal tar has raised concerns about potential carcinogenicity, although studies have not conclusively demonstrated an increased risk of cancer with Goeckerman therapy.
 
== Modern Use ==
 
While newer treatments for psoriasis, such as biologics, have become available, Goeckerman therapy remains a valuable option, particularly for patients who do not respond to other treatments or prefer a non-systemic approach. It is often used in specialized dermatology centers.


== See Also ==
== Related Pages ==


* [[Psoriasis]]
* [[Psoriasis]]
* [[Ultraviolet therapy]]
* [[Coal tar]]
* [[Coal tar]]
* [[Ultraviolet B]]
* [[William Goeckerman]]


== References ==
{{Psoriasis}}


<references />
[[Category:Medical treatments]]
[[Category:Dermatology]]
[[Category:Dermatology]]
[[Category:Psoriasis]]
[[Category:Psoriasis]]
 
[[Category:Medical treatments]]
{{stub}}

Latest revision as of 16:33, 16 February 2025

Goeckerman Therapy[edit]

William H. Goeckerman, MD

Goeckerman therapy is a treatment regimen for psoriasis that combines the application of crude coal tar with exposure to ultraviolet light. This therapy was developed in the 1920s by William H. Goeckerman, a dermatologist at the Mayo Clinic.

History[edit]

Goeckerman therapy was first introduced by Dr. William H. Goeckerman in 1925. At the time, psoriasis was a challenging condition to treat, and Dr. Goeckerman's method provided a significant improvement in patient outcomes. The therapy was based on the observation that coal tar had been used for centuries to treat skin conditions, and ultraviolet light was known to have beneficial effects on psoriasis.

Mechanism of Action[edit]

The effectiveness of Goeckerman therapy is attributed to the synergistic effects of coal tar and ultraviolet light. Coal tar is believed to have anti-inflammatory and antiproliferative properties, which help to slow down the rapid growth of skin cells seen in psoriasis. Ultraviolet light, particularly UVB, further aids in reducing inflammation and scaling.

Procedure[edit]

The Goeckerman regimen typically involves the daily application of crude coal tar to the affected areas of the skin, followed by exposure to UVB light. The treatment is usually conducted in a clinical setting, although home-based regimens have also been developed. The duration of the therapy can vary, but it often lasts for several weeks.

Efficacy[edit]

Goeckerman therapy has been shown to be highly effective in clearing psoriasis lesions. Many patients experience significant improvement or complete remission of their symptoms. However, the therapy requires a considerable time commitment and can be messy due to the nature of coal tar.

Side Effects[edit]

Common side effects of Goeckerman therapy include skin irritation, folliculitis, and a strong odor from the coal tar. Long-term use of coal tar has raised concerns about potential carcinogenicity, although studies have not conclusively demonstrated an increased risk of cancer with Goeckerman therapy.

Modern Use[edit]

While newer treatments for psoriasis, such as biologics, have become available, Goeckerman therapy remains a valuable option, particularly for patients who do not respond to other treatments or prefer a non-systemic approach. It is often used in specialized dermatology centers.

Related Pages[edit]

Template:Psoriasis