UVB light Treatment for Psoriasis
Phototherapy with UVB 311nm ultraviolet lamps
Some ointments and creams may be used alone or in combination with phototherapy (ultraviolet therapy) in the treatment for maintenance of mild psoriasis, uncomplicated (with skin lesions spread over less than 20% of total body surface).
If symptoms do not improve after the administration of local treatment, the doctor will choose another treatment or a combination of several treatments.
If the treatment involves phototherapy (short-term exposure to B type UV, known as UVB), the exposure to ultraviolet (UVB phototherapy) is frequently used in the treatment psoriasis and has good results in relieving the symptoms of skin.
Phototherapy is used in certain doses, 3 times a week, most times in combination with the topical treatment (tar or calcipotriene) and is extremely well tolerated by most patients.
A combination of A-type photo ultraviolet therapy (PUVA) and Psolaren is also used in the treatment of psoriasis and is beneficial.
There are certain medicinal substances, photosensitizing drugs such as Methoxsalen, which can be administered orally or topically (in ointments), before exposure to UVA.
There are many combinations of treatment with good results; these combinations include the following, commonly used in medical practice:
- Psolaren and phototherapy A-type ultraviolet
- resin and phototherapy B-type ultraviolet (UVB- narrow band) (Goeckerman treatment)
- anthralin and phototherapy B-type ultraviolet (UVB – narrow band) (Ingram regime).
The treatment is performed in cures 2-3 times per week and most patients obtain an improvement in their clinical status (decrease, disappearance of skin plates), after about 19 to 20 sessions of phototherapy.
The topical medication used in the treatment of psoriasis includes the following agents find in various lotions and ointments:
- vitamin D compounds, such as Calciferol
- local treatment with corticosteroids (substances with strong anti-inflammatory effect)
- retinoids such as Tazaroten
- certain types of tar and anthralin.
The treatment for psoriasis by bodily packing consists of local administration of certain ointments, gels or lotions, with strong effect of hydration, followed by packing of the respective area with sheets of material or plastic.
This type of treatment helps to maintain adequate hydration and increases the effectiveness of the topical treatment. Biological medication consists of a relatively new treatment using drugs, such as Alefacept and Efalizumab, which have the effect of selective blocking of the immune response with a decisive role in the development of lesions in psoriatic disease.