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Comparison of weekly and daily incremental protocols of narrowband ultraviolet B phototherapy for psoriasis.
J Eur Acad Dermatol Venereol. 2006 Oct; 20(9):1076-80.JE

Abstract

BACKGROUND

Different protocols have been used for narrowband ultraviolet B (UVB) therapy, commonly used in the treatment of psoriasis; however, more effective and reliable protocols are still required.

OBJECTIVE

The aim of this study was to compare the weekly and daily dose increment protocols of narrowband UVB phototherapy in psoriasis patients.

METHODS

Thirty patients with plaque psoriasis underwent narrowband UVB treatment three times a week and 15 patients selected consecutively among these patients underwent a weekly (once in three treatments) dose increment whereas the remaining 15 patients underwent a daily dose increment. Patients were monitored for 10 weeks and evaluated by the Psoriasis Area Severity Index (PASI).

RESULTS

When the two groups were evaluated according to median PASI scores prior to the treatment and during 10 weeks of treatment, there was no statistically significant difference between the groups (P > 0.05). During the treatment lasting for 10 weeks, four patients in the group with a weekly dose increment and three patients in the group with a daily dose increment recovered and no statistically significant difference was detected between the groups (P > 0.05). The groups were also evaluated according to the median cumulative dose. The median cumulative dose was higher in the group with a daily dose increment and the difference between the groups was statistically significant (P = 0.002).

CONCLUSION

The application of daily dose increments was no better than that of weekly dose increments in narrowband UVB treatment for psoriasis. Therefore, although our results may need to be supported by large-series studies, we conclude that application of weekly dose increments with a lower cumulative dose having the same efficacy is preferred in narrowband UVB treatment of psoriasis.

Authors+Show Affiliations

Department of Dermatology, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

16987261

Citation

Altiner, D D., et al. "Comparison of Weekly and Daily Incremental Protocols of Narrowband Ultraviolet B Phototherapy for Psoriasis." Journal of the European Academy of Dermatology and Venereology : JEADV, vol. 20, no. 9, 2006, pp. 1076-80.
Altiner DD, Ilknur T, Fetil E, et al. Comparison of weekly and daily incremental protocols of narrowband ultraviolet B phototherapy for psoriasis. J Eur Acad Dermatol Venereol. 2006;20(9):1076-80.
Altiner, D. D., Ilknur, T., Fetil, E., Günes, A. T., & Ozkan, S. (2006). Comparison of weekly and daily incremental protocols of narrowband ultraviolet B phototherapy for psoriasis. Journal of the European Academy of Dermatology and Venereology : JEADV, 20(9), 1076-80.
Altiner DD, et al. Comparison of Weekly and Daily Incremental Protocols of Narrowband Ultraviolet B Phototherapy for Psoriasis. J Eur Acad Dermatol Venereol. 2006;20(9):1076-80. PubMed PMID: 16987261.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of weekly and daily incremental protocols of narrowband ultraviolet B phototherapy for psoriasis. AU - Altiner,D D, AU - Ilknur,T, AU - Fetil,E, AU - Günes,A T, AU - Ozkan,S, PY - 2006/9/22/pubmed PY - 2007/1/11/medline PY - 2006/9/22/entrez SP - 1076 EP - 80 JF - Journal of the European Academy of Dermatology and Venereology : JEADV JO - J Eur Acad Dermatol Venereol VL - 20 IS - 9 N2 - BACKGROUND: Different protocols have been used for narrowband ultraviolet B (UVB) therapy, commonly used in the treatment of psoriasis; however, more effective and reliable protocols are still required. OBJECTIVE: The aim of this study was to compare the weekly and daily dose increment protocols of narrowband UVB phototherapy in psoriasis patients. METHODS: Thirty patients with plaque psoriasis underwent narrowband UVB treatment three times a week and 15 patients selected consecutively among these patients underwent a weekly (once in three treatments) dose increment whereas the remaining 15 patients underwent a daily dose increment. Patients were monitored for 10 weeks and evaluated by the Psoriasis Area Severity Index (PASI). RESULTS: When the two groups were evaluated according to median PASI scores prior to the treatment and during 10 weeks of treatment, there was no statistically significant difference between the groups (P > 0.05). During the treatment lasting for 10 weeks, four patients in the group with a weekly dose increment and three patients in the group with a daily dose increment recovered and no statistically significant difference was detected between the groups (P > 0.05). The groups were also evaluated according to the median cumulative dose. The median cumulative dose was higher in the group with a daily dose increment and the difference between the groups was statistically significant (P = 0.002). CONCLUSION: The application of daily dose increments was no better than that of weekly dose increments in narrowband UVB treatment for psoriasis. Therefore, although our results may need to be supported by large-series studies, we conclude that application of weekly dose increments with a lower cumulative dose having the same efficacy is preferred in narrowband UVB treatment of psoriasis. SN - 0926-9959 UR - https://www.unboundmedicine.com/medline/citation/16987261/Comparison_of_weekly_and_daily_incremental_protocols_of_narrowband_ultraviolet_B_phototherapy_for_psoriasis_ L2 - https://doi.org/10.1111/j.1468-3083.2006.01703.x DB - PRIME DP - Unbound Medicine ER -