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UVB phototherapy is an effective treatment for pruritus in patients infected with HIV.

AbstractBACKGROUND:
Pruritus in patients positive for HIV may be debilitating.
OBJECTIVE:
Our purpose was to evaluate the efficacy of UVB therapy in the treatment of pruritus in patients positive for HIV.
METHODS:
Twenty-one male HIV-positive patients with intractable pruritus (14 with eosinophilic folliculitis and 7 with primary pruritus) were treated three times weekly with UVB phototherapy. Pruritus was quantified with use of a subjective score of 0 (none) to 10 (severe).
RESULTS:
Mean CD4 counts at the initiation of therapy were 91.0 +/- 31.9 cells/microliter. Pruritus scores before and after treatment were 8.6 +/- 0.4 and 2.2 +/- 0.5, respectively (p < 0.001). The mean number of treatments to achieve maximal improvement was 20.7 +/- 2.3, with a cumulative UVB dose of 3399.1 +/- 597.4 mJ/cm2. No significant difference was found between the group with eosinophilic folliculitis and the group with primary pruritus.
CONCLUSION:
UVB phototherapy can produce significant relief of pruritus and improvement in the quality of life in patients positive for HIV.
AuthorsH W Lim, S Vallurupalli, T Meola, N A Soter
JournalJournal of the American Academy of Dermatology (J Am Acad Dermatol) Vol. 37 Issue 3 Pt 1 Pg. 414-7 (Sep 1997) ISSN: 0190-9622 [Print] United States
PMID9308556 (Publication Type: Journal Article)
Topics
  • Adult
  • CD4 Lymphocyte Count
  • Eosinophilia (complications)
  • Folliculitis (complications, radiotherapy)
  • HIV Infections (complications, immunology)
  • Humans
  • Male
  • Middle Aged
  • Pruritus (complications, radiotherapy)
  • Ultraviolet Therapy

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