Home ultraviolet B phototherapy for psoriasis: discrepancy between literature, guidelines, general opinions and actual use. Results of a literature review, a web search, and a questionnaire among dermatologists

The British Journal of Dermatology
Mayke B G KoekVigfús Sigurdsson

Abstract

Home ultraviolet B (UVB) phototherapy is a debated treatment. It is currently being prescribed for patients with psoriasis, although literature on the subject is scarce. Despite the apparent contradiction between clinical practice and literature, no systematic study of either has been conducted. To assess and compare the available publications and guidelines about home UVB phototherapy for psoriasis with the actual opinions and use of this therapy. The literature and guidelines were searched using databases, search engines and e-mail. A postal survey of 343 Dutch dermatologists and 142 dermatologists from 32 other countries was carried out; 255 and 102 dermatologists respectively responded. Outcome measures were the reported advantages, drawbacks and prescription rates of home UVB phototherapy. Fourteen publications (nonrandomized) and six guidelines concerning home UVB phototherapy for psoriasis were identified. Most were reticent about the use of this treatment. Publications describing nonclinical research (7/14) reported most of the drawbacks mentioned (24/31). Home UVB phototherapy was prescribed to 5% (median) of all patients with psoriasis in The Netherlands who required UVB. However, 28% (68/244) of the Dutch dermatologi...Continue Reading

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Citations

Oct 5, 2013·Annales de dermatologie et de vénéréologie·F AubinUNKNOWN groupe de recherche sur psoriasis (GRPso) de SFD
Nov 30, 2011·Seminars in Cutaneous Medicine and Surgery·Daniel Walker, Heidi Jacobe
Mar 25, 2011·Journal of the American Academy of Dermatology·Whitney LapollaSteven R Feldman
Oct 13, 2015·Clinical and Experimental Dermatology·R HungA V Anstey
Aug 19, 2015·Photodermatology, Photoimmunology & Photomedicine·Kathryn L AndersonSteven R Feldman
Aug 29, 2009·Journal of the European Academy of Dermatology and Venereology : JEADV·D PathiranaB Rzany
Nov 21, 2008·Journal of Evaluation in Clinical Practice·Andrew MilesAndreas Polychronis
May 15, 2020·The British Journal of Dermatology·F R Ali, F Al-Niaimi
Sep 18, 2018·Journal of Cutaneous Medicine and Surgery·Matthew HumRobert Gniadecki
Sep 10, 2019·The British Journal of Dermatology·K L WarburtonV Goulden
Oct 28, 2016·The Journal of Dermatological Treatment·Mathias Tiedemann SvendsenHelle Johannessen

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