Literature DB >> 20548873

Efficacy of ultraviolet A1 phototherapy in recalcitrant skin diseases.

Kee Suck Suh1, Jin Seuk Kang, Jae Woo Baek, Tae Kwon Kim, Jin Woo Lee, Young Seung Jeon, Min Soo Jang, Sang Tae Kim.   

Abstract

BACKGROUND: Ultraviolet (UV) radiation has been used for decades to treat a variety of skin diseases. UVA1 was used initially as an effective treatment for acute exacerbated atopic dermatitis. Since then, UVA1 has been attempted for recalcitrant skin diseases.
OBJECTIVE: This study examined the efficacy of UVA1 phototherapy in three recalcitrant skin diseases.
METHODS: This retrospective study reviewed the efficacy and follow-up of 26 patients with atopic dermatitis (AD), mycosis fungoides (MF) and localized scleroderma (LS). SUPUVASUN 3000 (Mutzhas Co., Munich, Germany) and SELLAMED 3000 (Sellas Medizinische Gerate GmbH, Gevelsberg, Germany) were the UVA1 equipment used. Irradiation was performed in accordance with the disease. Low-dose (20 J/cm(2)), medium-dose (65 J/cm(2)) and high-dose regimens (100 J/cm(2)) of UVA1 therapy were employed. The frequency of the therapy ranged from 3 to 5 times weekly. The therapeutic effectiveness was assessed according to the clinical examination before and after the last treatment.
RESULTS: In patients with AD, complete and partial remission was achieved in four (80%) and one (20%) patient, respectively. In patients with MF, complete and partial remission was observed in thirteen (86.7%) and two (13.3%) patients, respectively. In patients with LS, complete and partial remission was observed in three (50%) and three (50%) patients, respectively.
CONCLUSION: UVA1 phototherapy is an effective treatment modality for acute exacerbated AD, MF and LS.

Entities:  

Keywords:  Recalcitrant skin disease; UVA1

Year:  2010        PMID: 20548873      PMCID: PMC2883385          DOI: 10.5021/ad.2010.22.1.1

Source DB:  PubMed          Journal:  Ann Dermatol        ISSN: 1013-9087            Impact factor:   1.444


  33 in total

1.  Long-term efficacy of medium-dose UVA1 phototherapy in atopic dermatitis.

Authors:  D Abeck; T Schmidt; H Fesq; K Strom; M Mempel; K Brockow; J Ring
Journal:  J Am Acad Dermatol       Date:  2000-02       Impact factor: 11.527

2.  Narrowband UV-B vs medium-dose UV-A1 phototherapy in chronic atopic dermatitis.

Authors:  Franz J Legat; Angelika Hofer; Eva Brabek; Franz Quehenberger; Helmut Kerl; Peter Wolf
Journal:  Arch Dermatol       Date:  2003-02

3.  A randomized controlled study of low-dose UVA1, medium-dose UVA1, and narrowband UVB phototherapy in the treatment of localized scleroderma.

Authors:  Alexander Kreuter; Julia Hyun; Markus Stücker; Anna Sommer; Peter Altmeyer; Thilo Gambichler
Journal:  J Am Acad Dermatol       Date:  2006-01-30       Impact factor: 11.527

4.  "High-dose" UVA1 therapy of widespread plaque-type, nodular, and erythrodermic mycosis fungoides.

Authors:  C Zane; C Leali; P Airò; G De Panfilis; P C Pinton
Journal:  J Am Acad Dermatol       Date:  2001-04       Impact factor: 11.527

5.  High-dose versus medium-dose UVA1 phototherapy for patients with severe generalized atopic dermatitis.

Authors:  S Tzaneva; A Seeber; M Schwaiger; H Hönigsmann; A Tanew
Journal:  J Am Acad Dermatol       Date:  2001-10       Impact factor: 11.527

6.  Significant downregulation of transforming growth factor-beta signal transducers in human skin following ultraviolet-A1 irradiation.

Authors:  T Gambichler; M Skrygan; N S Tomi; S Breuksch; P Altmeyer; A Kreuter
Journal:  Br J Dermatol       Date:  2007-03-23       Impact factor: 9.302

7.  Ultraviolet-A1 (340-400 nm)-mediated receptor and cytokine changes of transformed lymphocytes.

Authors:  Dianne E Godar; Anne D Lucas
Journal:  Photodermatol Photoimmunol Photomed       Date:  2005-02       Impact factor: 3.135

8.  Ultraviolet A1 (340-400 nm) phototherapy for cutaneous T-cell lymphoma.

Authors:  H Plettenberg; H Stege; M Megahed; T Ruzicka; Y Hosokawa; T Tsuji; A Morita; J Krutmann
Journal:  J Am Acad Dermatol       Date:  1999-07       Impact factor: 11.527

9.  Evaluation of medium-dose UVA1 phototherapy in localized scleroderma with the cutometer and fast Fourier transform method.

Authors:  M A de Rie; D N H Enomoto; H J C de Vries; J D Bos
Journal:  Dermatology       Date:  2003       Impact factor: 5.366

10.  Joint British Association of Dermatologists and U.K. Cutaneous Lymphoma Group guidelines for the management of primary cutaneous T-cell lymphomas.

Authors:  S J Whittaker; J R Marsden; M Spittle; R Russell Jones
Journal:  Br J Dermatol       Date:  2003-12       Impact factor: 9.302

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  7 in total

1.  UVA1 vs. narrowband UVB phototherapy in the treatment of palmoplantar pustulosis: a pilot randomized controlled study.

Authors:  Li-Na Su; Jie Ren; Shi-Meng Cheng; Jian-Lan Liu; Yang-Feng Ding; Ning-Wen Zhu
Journal:  Lasers Med Sci       Date:  2017-07-11       Impact factor: 3.161

2.  Modern aspects of phototherapy for atopic dermatitis.

Authors:  Sonja Alexandra Grundmann; Stefan Beissert
Journal:  J Allergy (Cairo)       Date:  2011-12-15

3.  Consensus Guidelines for the Treatment of Atopic Dermatitis in Korea (Part II): Systemic Treatment.

Authors:  Jung Eun Kim; Hyun Jeong Kim; Bark-Lynn Lew; Kyung Ho Lee; Seung Phil Hong; Yong Hyun Jang; Kui Young Park; Seong Jun Seo; Jung Min Bae; Eung Ho Choi; Ki Beom Suhr; Seung Chul Lee; Hyun Chang Ko; Young Lip Park; Sang Wook Son; Young Jun Seo; Yang Won Lee; Sang Hyun Cho; Chun Wook Park; Joo Young Roh
Journal:  Ann Dermatol       Date:  2015-10-02       Impact factor: 1.444

4.  Pityriasis Lichenoides-like Mycosis Fungoides: Clinical and Histologic Features and Response to Phototherapy.

Authors:  Min Soo Jang; Dong Young Kang; Jong Bin Park; Joon Hee Kim; Kwi Ae Park; Hark Rim; Kee Suck Suh
Journal:  Ann Dermatol       Date:  2016-09-30       Impact factor: 1.444

Review 5.  Ultraviolet A1 Phototherapy for Fibrosing Conditions.

Authors:  Thilo Gambichler; Lutz Schmitz
Journal:  Front Med (Lausanne)       Date:  2018-08-27

6.  UVA1 irradiation inhibits fibroblast proliferation and alleviates pathological changes of scleroderma in a mouse model.

Authors:  Mei Ju; Kun Chen; Baozhu Chang; Heng Gu
Journal:  J Biomed Res       Date:  2012-03

Review 7.  Phototherapy in Scleroderma.

Authors:  John Hassani; Steven R Feldman
Journal:  Dermatol Ther (Heidelb)       Date:  2016-08-12
  7 in total

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