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Outpatient Phototherapy for Psoriasis
Robert M. Adrian, MD;
John A. Parrish, MD;
Khosrow Momtaz-T, MD;
Michael J. Karlin
Arch Dermatol. 1981;117(10):623-626.
Abstract
Using a new protocol with varied exposure increments, we found that, in 18 of 20 patients with psoriasis vulgaris who were given ultraviolet (UV)-B phototherapy three times a week, the disease completely cleared. One patient's condition substantially improved, and one patient's condition failed to respond. Ten to 38 treatments were required during a three- to 13-week period. The only topical treatment agent used was white petrolatum. The results are compared with a schedule using five treatments a week and fixed UV-B-exposure increments. Infrequent (three times weekly) treatments, avoidance of hospitalization and crude coal tar treatment, and fewer episodes of UV-radiation burn may offer advantages for selected patients. Long-term effects and maintenance requirements for this treatment regimen are not known.
(Arch Dermatol 1981;117:623-626)
Author Affiliations
From the Department of Dermatology, Harvard Medical School, Massachusetts General Hospital, Boston (Drs Parrish and Momtaz-T and Mr Karlin); and the Department of Dermatology, University of Maryland Hospital, Baltimore (Dr Adrian).
Footnotes
Accepted for publication Feb 27, 1981.
Read as a preliminary report before the annual meeting of the Society for Investigative Dermatology, Washington, DC, May 13, 1980.
Reprint requests to Department of Dermatology, Massachusetts General Hospital, Boston, MA 02114 (Dr Parrish).
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