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Updated: May 28, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Chronic actinic dermatitis: two patients with successful management using narrowband ultraviolet B phototherapy with
Aida Khaled1, Nadia Kerkeni, Dora Baccouche
1Department of Dermatology, Charles Nicolle Hospital of Tunis, Tunisia. aida.khaled@rns.tn
Background:
Chronic actinic dermatitis (CAD) is a debilitating photodermatosis with characteristic clinical, histological and photobiological features (reduced minimal erythema dose: MED). Its management involves various therapeutic approaches, among them there is phototherapy. Efficacy of psoralen ultraviolet therapy (PUVA therapy) was previously demonstrated but there are no current data on the use of narrowband ultra violet B (UVB) therapy (NB-UVB) in CAD. NB-UVB has already been proven to be effective and safe in several other photodermatoses.
Case Reports:
We report here two dark-skinned patients (skin type IV and V) with CAD, successfully treated with an incremental regimen of NB-UVB phototherapy coupled to a 3 month-course of systemic steroids (1mg/Kg/day).
Conclusion:
Our protocol of NB-UVB with steroids seems to be effective for the management of CAD with a good short term safety profile.
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Assessment:
