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

Norami de Moura Barros1, Lissiê Lunardi Sbroglio1, Maria de Oliveira Buffara1

  • 1Department of Dermatology, Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Anais Brasileiros De Dermatologia
|April 14, 2021
PubMed
Summary

Phototherapy, including heliotherapy, NB-UVB, PUVA, and UVA1, is a safe and effective dermatology treatment for various conditions like psoriasis. Patient assessment and regular monitoring are crucial for successful phototherapy outcomes.

Keywords:
PUVA therapyPhototherapyUltraviolet therapy

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Area of Science:

  • Dermatology
  • Photomedicine

Background:

  • Phototherapy offers a long history of effectiveness and safety in dermatological treatments.
  • Common modalities include heliotherapy, narrowband ultraviolet B (NB-UVB), PUVA, and UVA1.

Purpose of the Study:

  • To review the indications, methods, and considerations for phototherapy in dermatology.
  • To highlight the importance of patient assessment and monitoring in phototherapy.

Main Methods:

  • Review of established phototherapy techniques and their applications.
  • Discussion of patient selection criteria, contraindications, and treatment adherence challenges.

Main Results:

  • Phototherapy is indicated for psoriasis, atopic dermatitis, vitiligo, cutaneous T-cell lymphoma, and cutaneous sclerosis.
  • Effective phototherapy requires thorough patient assessment, including contraindication screening and ability to attend sessions.
  • Adverse effects necessitate regular patient monitoring, and phototherapy is often used adjunctively with other treatments.

Conclusions:

  • Phototherapy is a beneficial and versatile treatment option in dermatology.
  • Careful patient selection and management are key to optimizing phototherapy efficacy and safety.
  • Despite limitations like treatment accessibility, phototherapy remains a valuable therapeutic modality.