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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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Phototherapy in the elderly.

J B Powell1, J E Gach2

  • 1Department of Dermatology, Worcestershire Royal Hospital, Worcester, UK.

Clinical and Experimental Dermatology
|March 27, 2015
PubMed
Summary
This summary is machine-generated.

Phototherapy is safe and effective for elderly patients with skin conditions. This study found a low adverse event rate and good treatment outcomes in older individuals receiving narrowband ultraviolet B (NB-UVB) therapy.

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Area of Science:

  • Dermatology
  • Geriatrics
  • Photomedicine

Background:

  • Elderly skin exhibits unique structural and physiological changes impacting treatment responses.
  • Limited data exists on phototherapy's safety, efficacy, and utilization in geriatric dermatology.
  • Aging populations necessitate understanding specialized dermatological treatment approaches.

Purpose of the Study:

  • To evaluate the safety and efficacy of phototherapy in elderly patients.
  • To assess the current utilization patterns of phototherapy for geriatric dermatoses.
  • To provide evidence for optimizing phototherapy delivery in an aging demographic.

Main Methods:

  • A retrospective analysis of phototherapy patients at a UK university teaching hospital in January 2014.
  • Inclusion criteria: patients referred for, receiving, or recently completing phototherapy.
  • Data collected on patient demographics, dermatoses treated, phototherapy modality, and outcomes.

Main Results:

  • 37 (15%) of 249 patients were over 65 years old.
  • Common conditions treated included psoriasis (51%), eczema (11%), and pruritic disorders (22%).
  • Narrowband ultraviolet B (NB-UVB) was the predominant treatment (88%), with a low acute adverse event rate (1.89%) and no severe events. 80% of patients achieved a clear/near-clear or moderate response.

Conclusions:

  • Phototherapy, particularly NB-UVB, is well-tolerated, safe, and effective for elderly patients in the short term.
  • The findings support the use of phototherapy for common dermatoses in the aging population.
  • Further research and consideration are needed for adapting phototherapy delivery to geriatric patients.