La fototerapia y la fotoquimioterapia siguen representando, aun a pesar de los en el tratamiento de otras dermatosis como el vitíligo o la dermatitis atópica. B. Salzer, K. SchallreuterInvestigation of the personality structure in patients with vitiligo and a possible association with catecholamine metabolism. Seguridad y utilidad de la fototerapia con rayos ultravioleta B de banda estrecha Phototherapy for the Treatment of Vitiligo in Asian Children.
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Despite the noteworthy advances that have taken place in therapeutics during recent years, phototherapy and photochemotherapy still represent a first-choice alternative in widely prevalent dermatoses such as psoriasis and vitiligo, or the initial stages of cutaneous T-cell lymphoma. In addition, they are a valuable option in atopic dermatitis, prurigo nodularis, localized scleroderma or in preventing photodermatoses. Furthermore, due to their versatility and limited side effects, they are often tried in nearly all cutaneous processes of presumed inflammatory pathogenesis in which other alternatives have failed.
PUVA therapy still represents the benchmark with regard to its efficacy in the treatment of psoriasis and cutaneous T-cell lymphoma, although it is also the type of phototherapy associated with more short- and long-term side effects.
Vitiligo in children: a review of classification, hypotheses of pathogenesis and treatment
This circumstance probably explains the increasing use of PUVA baths in recent years, which would partially reduce these drawbacks. In UVB phototherapy, the main innovation is the fact that narrow-band UVB therapy, associated with greater convenience and safety compared to PUVA therapy, has burst onto the scene; it is currently considered one of the treatments of choice for plaque-type psoriasis.
It is also a versatile source of radiation which has been successfully applied in the treatment of other dermatoses, such as vitiligo or atopic dermatitis.
Other types of phototherapy whose use is increasing in recent years include UVA1 therapy, microphototherapy or excimer lasers. If you are a member of the AEDV: Go to the members area of the website of the AEDV, https: Subscriber If you already have your login data, please click here.
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La fototerapia obtiene resultados en más del 50% de los casos
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