Combination of psoralens and ultraviolet A and ultraviolet B in the treatment of psoriasis vulgaris: a bilateral comparison study.

Abstract:

:Forty-two adults with psoriasis vulgaris were treated total body thrice weekly with both ultraviolet B (UVB) and psoralens and ultraviolet A (PUVA) with the use of protocols shown to be effective with either treatment alone. Patients previously difficult to manage with either UVB or PUVA and at least 25% psoriasis were selected. No other treatment was used for 2 months prior to initiation or during the study. All patients tolerated treatments well and cleared in an average of only 11.3 treatments, less than half the number of treatments usually required with either PUVA or UVB. The mean UVB dose at clearing and the mean cumulative PUVA dose were less than half that normally required with either therapy alone. The total cumulative UVB dose was only 18% of that normally required with UVB. Bilateral comparison studies comparing the PUVA-UVB combination with PUVA and UVB found that whenever there was a clear difference it was always the combination that cleared more rapidly. The marked reduction of total cumulative energy required more rapidly. The marked reduction of total cumulative energy required may be a significantly smaller insult to skin and the marked reduction in joules/cm2 of UVB and joules/cm2 of PUVA at clearing may make it possible to provide effective maintenance therapy with either treatment at a markedly lower treatment dose. Hopefully, long-term side effects may thereby be markedly diminished.

journal_name

J Am Acad Dermatol

authors

Momtaz-T K,Parrish JA

doi

10.1016/s0190-9622(84)80098-5

subject

Has Abstract

pub_date

1984-03-01 00:00:00

pages

481-6

issue

3

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(84)80098-5

journal_volume

10

pub_type

临床试验,杂志文章
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    更新日期:1989-05-01 00:00:00

  • The development of the patch testing procedure and working for consistency.

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    更新日期:1989-10-01 00:00:00

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  • Cutaneous reactions to chemotherapeutic drugs and targeted therapies for cancer: part I. Conventional chemotherapeutic drugs.

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  • Laser surgery: an approach to the pediatric patient.

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    更新日期:1999-05-01 00:00:00

  • CD2- CD4+ CD56+ hematodermic/hematolymphoid malignancy.

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    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

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    更新日期:2001-02-01 00:00:00

  • Multiple familial cutaneous glomangioma: a pedigree of 4 generations and critical analysis of histologic and genetic differences of glomus tumors.

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    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:

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    更新日期:2000-04-01 00:00:00

  • Penile verrucous carcinoma in a 37-year-old circumcised man.

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    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:

    authors: Kanik AB,Lee J,Wax F,Bhawan J

    更新日期:1997-08-01 00:00:00

  • Clinical presentation, immunopathology, and treatment of juvenile-onset mycosis fungoides: a case series of 34 patients.

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    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2014.07.049

    authors: Boulos S,Vaid R,Aladily TN,Ivan DS,Talpur R,Duvic M

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    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,多中心研究

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  • Characteristics of robotically harvested hair follicles in Koreans.

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    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

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    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/0190-9622(90)70322-9

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    更新日期:1990-11-01 00:00:00

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    journal_title:Journal of the American Academy of Dermatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0190-9622(96)90608-8

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    更新日期:1996-09-01 00:00:00

  • Photoprotection: part II. Sunscreen: development, efficacy, and controversies.

    abstract::In addition to the naturally occurring, physical, and systemic photoprotective agents reviewed in part I, topical ultraviolet radiation filters are an important cornerstone of photoprotection. Sunscreen development, efficacy, testing, and controversies are reviewed in part II of this continuing medical education artic...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

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  • Frequency and duration of patient follow-up after treatment of a primary malignant melanoma.

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    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(85)70218-6

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    更新日期:1985-11-01 00:00:00

  • Intermittent hair follicle dystrophy. Report of a new disorder.

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    pub_type: 杂志文章

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    更新日期:1986-07-01 00:00:00

  • Bowen's disease and 5-fluorouracil.

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    journal_title:Journal of the American Academy of Dermatology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    pub_type: 临床试验,杂志文章

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