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I read with interest the article by Léauté-Labrèze et al¹ titled "Saline Spa Water or Combined Water and UV-B for Psoriasis vs Conventional UV-B" in a recent issue of the ARCHIVES. This is an important article that demonstrates that there is no additional therapeutic effect of bathing to enhance UV-B phototherapy. The authors cited an earlier publication by my colleagues and me,² mentioning that we "demonstrated that skin sensitivity to UV-B irradiation is increased by bathing in salted water."

Indeed, we demonstrated an increased photosensitivity by soaking the skin (volar aspect of the forearm) in tap water or a 4% sodium chloride (NaCl) solution, a finding that was confirmed by Schempp et al.³ However, the photosensitivity was not changed after bathing in an almost saturated salt solution, such as 26% NaCl solution and locum (imitation) Dead Sea water (LDSW).² Locum Dead Sea water contains a total of 32.5% salts, 9.9% . . . [Full Text of this Article]

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