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Clinical efficacy of narrow-band UVB (311 nm) combined with dithranol in psoriasis. An open pilot study.

AbstractBACKGROUND: For UVB, the most effective wavelength in clearing psoriatic lesions was found to be of 313 nm. The efficacy of whole body exposure to narrow-band UVB (311 nm) combined with dithranol in psoriasis has not been evaluated to date. OBJECTIVE: Evaluation of the clinical efficacy of phototherapy with narrow-band UVB (311 nm) and dithranol for psoriasis by means of whole body exposures and analysis of the mean cumulative irradiation dose. METHODS: In this open pilot study, 13 patients were treated for 4-5 weeks. Evaluation of the therapeutic efficacy was performed by comparing the Psoriasis Area and Severity Index (PASI) scores at baseline and after 4 weeks of treatment. The cumulative irradiation dose was also calculated. RESULTS: Evaluation of the PASI scores showed a significant overall reduction of psoriatic lesions after 4 weeks of treatment. The cumulative irradiation dose was similar or lower to those found for phototherapy with narrow-band UVB alone. DISCUSSION: In patients with widespread psoriasis, treatment with narrow-band UVB (311 nm) combined with dithranol is safe and effective, allowing reduction of the cumulative irradiation dose. Copyright (R) 2000 S.Karger AG, Basel
AuthorsP Carrozza, P Häusermann, F O Nestle, G Burg, R Böni (Affiliation: Department of Dermatology, University Hospital Zurich, Switzerland. carrozza at gmx.net)
JournalDermatology (Basel, Switzerland) (Dermatology) Vol. 200 Issue 1 Pg. 35-9 ( 2000) ISSN: 1018-8665 SWITZERLAND
PMID10681611 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Anti-Inflammatory Agents
  • Anthralin
Topics
  • Administration, Topical
  • Adult
  • Anthralin (therapeutic use)
  • Anti-Inflammatory Agents (therapeutic use)
  • Combined Modality Therapy
  • Dose-Response Relationship, Radiation
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Psoriasis (drug therapy, pathology, radiotherapy)
  • Radiotherapy Dosage
  • Severity of Illness Index
  • Skin (drug effects, pathology, radiation effects)
  • Treatment Outcome
  • Ultraviolet Therapy
  • Whole-Body Irradiation