Phototherapy or light therapy, involves exposing the skin to ultraviolet light on a regular basis and under medical supervision. Read more on the Psoriasis Foundation position on indoor tanning beds. Present in natural sunlight, ultraviolet B (UVB) is an effective treatment for psoriasis. There are two types of UVB treatment, broad band and narrow band. (ETN) and narrowband ultraviolet B (NB-UVB) phototherapy is more effective than ETN alone. BB-and NB-UVB phototherapy is contraindicated in patients with known lupus erythematosus or xeroderma pigmentosum. Initial dosing according to skin type (20-60 mJ/cm2) or MED (50 of MED). Suberythemogenic narrow-band UVB is markedly more effective than conventional UVB in treatment of psoriasis vulgaris.
UVB is the first-line phototherapy treatment, since, for the type of psoriasis for which it is suitable, it can be as effective as PUVA but has fewer immediate side effects and is very much safer in the long term. In the 25+ years of narrowband UVB phototherapy, increased skin cancer has not been reported. Tablet PUVA can be most effective at treating the thickest plaque psoriasis. After taking the tablets, patients should wear sunglasses or other UV protective eyewear, or avoid exposure to sunlight altogether. To minimize side effects and to increase effectiveness, topical corticosteroids are generally used on active outbreaks until they’re under control. Calcipotriene (Dovonex) is a prescription cream or solution containing a vitamin D analogue that may be used alone to treat mild to moderate psoriasis or in combination with other topical medications or phototherapy. A newer type of psoriasis treatment, narrow band UVB therapy may be more effective than broadband UVB treatment. Risk of moderate to advanced kidney disease in patients with psoriasis: population based cohort study. Twenty-five patients with skin type II or III who consented to participate after having received full information on the setup and the purpose of the trial were consecutively enrolled in this open paired-comparison study. All of these patients had generalized, chronic plaque-type psoriasis in a largely symmetrical distribution and had not received any specific antipsoriatic treatment within the last 4 weeks prior to the study. Patients who at the end of the study had not achieved complete or almost complete clearing with one or both treatments were either continued on the more effective regimen, or, when both treatments had given an equal result, on the subjectively preferred regimen until complete clearing occurred.
About 30 of patients with psoriasis have a family history. Acute episodes of plaque psoriasis may evolve into more severe disease – eg, pustular or erythrodermic psoriasis. Second-line therapy which includes phototherapy, broad-band or narrow-band ultraviolet B light, with or without supervised application of complex topical therapies such as dithranol in Lassar’s paste or crude coal tar and photochemotherapy, psoralens in combination with UVA irradiation (PUVA), and non-biological systemic agents such as ciclosporin, methotrexate and acitretin. The most common type is plaque psoriasis, accounting for about 90 of cases. Phototherapy, which involves exposure of the skin to ultraviolet light, can help improve the symptoms of psoriasis. Neoral is the preparation used most often for psoriasis, and it clears psoriasis in many patients within 8 to 12 weeks. The laser is more effective than narrowband UVB for localized psoriasis, because it allows very specific areas of skin to be targeted. Narrow-band ultraviolet B phototherapy in patients with psoriasis: for which types of psoriasis is it more effective? Br J Dermatol, 32 (2005), pp. 436-441. 12.
Psoriasis And Phototherapy
Narrow Band UVB is effective for psoriasis treatment and vitiligo treatments. UVB Narrowband is therefore theoretically safer and more effective than UVB Broadband, but requires either longer treatment times or equipment with more bulbs to achieve the same dosage threshold. With the goal being to minimize the total cummulative dosage of erythemogenic ultraviolet light in a patient’s lifetime, it follows that younger people should consider using UVB Narrowband. UV-B phototherapy vs photochemotherapy in the treatment of plaque-type psoriasis. Psoriasis is the most common skin disease treated with UVB. Although undesirable, it is a necessary part of treatment for many patients in order to deliver the most effective dose to clear their skin disease. Aetna considers combinational use of pulsed dye laser and ultra-violet B (UVB) experimental and investigational for the treatment of persons with localized plaque psoriasis because of insufficient evidence in the peer-reviewed literature. Feldman et al (2002) reported on a multi-center study of the excimer laser involving 124 patients with stable mild-to-moderate plaque-type psoriasis; However, clobetasol propionate + salicylic acid treatment is more effective than both PDL and PDL + salicylic acid treatment. Objective To determine whether ultraviolet B phototherapy at home is equally safe and equally effective as ultraviolet B phototherapy in an outpatient setting for patients with psoriasis. Participants 196 patients with psoriasis who were clinically eligible for narrowband (TL-01) ultraviolet B phototherapy. An effective treatment that is often applied is phototherapy using ultraviolet B light. Phototherapy is the original psoriasis treatment. With all the high-tech remedies available today, light therapy continues to be one of the most effective treatments for psoriasis. Types of phototherapyPhototherapy is usually administered on an outpatient basis in a dermatologists office two to three times a week, using a walk-in light booth that looks like a tanning bed stood on end. During the treatment patients are exposed to the light for just a few seconds at first, and the exposure time is gradually increased to several minutes per treatment. A form of UVB light known as narrow-band (NB-UVB) has been shown to be even more effective than UVB, and is increasingly being used by dermatologists. This is helpful in treating psoriasis, which causes skin cells to grow too rapidly. There are two types of ultraviolet (UV) light therapy: ultraviolet B (UVB) and ultraviolet A (UVA). One phototherapy option includes the use of narrow-band UVB light. Phototherapy is usually an effective treatment for psoriasis. More From WebMD:.