224 patients with widespread plaque psoriasis were randomly allocated to treatment with PUVA or dithranol. 103 of the 113 patients treated with PUVA (91.2%) cleared satisfactorily compared with 91 out of in patients treated with dithranol (82%). However, dithranol cleared psoriasis significantly faster than PUVA (20.4±0.9 days compared to 34.4±1.8 days). Photochemotherapy produced no evident short‐term adverse effects on the bone marrow, liver, or kidneys.