[Narrowband UV-B, monochromatic excimer laser, and photodynamic therapy in psoriasis: a consensus statement of the Spanish Psoriasis Group].

نویسندگان

  • J M Carrascosa
  • J L López-Estebaranz
  • G Carretero
  • E Daudén
  • C Ferrándiz
  • D Vidal
  • I Belinchón
  • M Sánchez-Regaña
  • L Puig
چکیده

Novel treatment strategies and new information concerning the management of moderate to severe psoriasis justify a reassessment of the role of the classic therapies in this setting. This consensus statement evaluates narrowband UV-B therapy, which is currently considered the phototherapy option of choice in psoriasis because of its risk-to-benefit ratio. The role of excimer laser and photodynamic therapies are also discussed. These targeted therapies are still only available in a small number of centers in Spain and are used principally in the treatment of localized and recalcitrant forms of psoriasis. We discuss the efficacy and safety of phototherapy as well as treatment regimens, combination therapy, and clinical considerations relating to the characteristics of the patient or the disease.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Revisiting the History and Importance of Phototherapy in Dermatology.

Practicingdermatologists todayareusingphototherapy to treat psoriasis, vitiligo, atopic dermatitis, and many other common and uncommon dermatoses. Treatments like narrowband UV-B (NB-UV-B), psoralen plus UV-A (PUVA), UV-A-1, and excimer laser are now in the armamentariumof today’sdermatologist. Butwhendid theuseofphototherapy in treating skin disease actually begin? Surprisingly, the history of...

متن کامل

Use of the 308-nm excimer laser for psoriasis and vitiligo.

The 308-nm excimer laser represents the latest advance in the concept of selective phototherapy. It emits a wavelength in the UV-B spectrum and thus shares the same indications as conventional phototherapy. Like other laser devices, the 308-nm excimer laser emits a monochromatic and coherent beam of light, can selectively treat a lesion while sparing surrounding healthy skin, and can deliver hi...

متن کامل

Monochromatic Excimer Light for the Treatment of Palmoplantar Psoriasis

Palmoplantar psoriasis (PPP) presents with typical scaly patches sometimes studded with sterile pustules. It is chronic and recalcitrant to therapy; it often causes itching, burning, painful ragades and can lead to severe disabilities (1). Some preliminary works (2-4) have established that an excimer laser-generated 308 nm UVB radiation is effective in the treatment of psoriasis. In our study, ...

متن کامل

Treatment of palmoplantar psoriasis with monochromatic excimer light (308-nm) versus cream PUVA.

Palmoplantar psoriasis is a chronic disease, which is very resistant to treatment and often leads to severe disabilities. Photochemotherapy employing psoralens combined with UVA irradiation (PUVA) is a well-accepted therapy for palmoplantar psoriasis. Its topical application (bath PUVA; cream PUVA) avoids the typical side effects of orally applied psoralens. We compared the efficacy of cream PU...

متن کامل

308-nm excimer laser for the treatment of psoriasis: a dose-response study.

OBJECTIVE To determine the dose-response relationship of excimer laser-generated 308-nm UV-B radiation for treating psoriasis. DESIGN Pilot study with a before-after design. SETTING A university dermatology service. PATIENTS Thirteen consecutive patients with at least 4 large, stable psoriasis plaques. INTERVENTIONS Excimer laser-generated 308-nm UV-B radiation was given to each of 4 pl...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Actas dermo-sifiliograficas

دوره 102 3  شماره 

صفحات  -

تاریخ انتشار 2011