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[UV-B phototherapy in psoriasis]
Zeitschrift Fur Hautkrankheiten
|August 1, 1983
Summary
UV-B phototherapy is effective for certain psoriasis types, particularly acute eruptive or seborrheic psoriasis. However, plaque psoriasis shows better response to PUVA, and UV-B requires careful consideration for long-term risks like carcinogenicity.
Area of Science:
- Dermatology
- Phototherapy
Background:
- Psoriasis is a chronic inflammatory skin condition.
- Phototherapy is a common treatment for psoriasis.
Purpose of the Study:
- To evaluate the efficacy of UV-B phototherapy for different types of psoriasis.
- To compare UV-B phototherapy with PUVA for plaque psoriasis.
Main Methods:
- 67 patients with psoriasis (chronic plaque, acute eruptive, seborrheic) were treated with UV-B phototherapy.
- A split comparison study evaluated UV-B versus PUVA for plaque psoriasis.
Main Results:
- 92% of patients with acute/seborrheic psoriasis showed satisfactory results with UV-B.
- 46% of plaque psoriasis patients responded to UV-B, requiring more exposures and higher doses.
- PUVA demonstrated superiority over UV-B for plaque psoriasis in initial treatment and remission duration.
Conclusions:
- UV-B phototherapy is an effective alternative for specific psoriasis subtypes.
- PUVA is more effective for plaque psoriasis than UV-B.
- Long-term risks of UV-B, including carcinogenicity, warrant careful evaluation similar to PUVA.