2000•Parthenon eBooksRequires access
Phototherapy treatment protocols : for psoriasis and other photosensitive dermatoses
Michael D. Zanolli
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Abstract
Acknowledgements. Introduction. Phototherapy Treatment Center (PTC) Initial Introduction. Patient instructions and protocols: Psoriasis: ultraviolet B (UVB) phototherapy by skin type ultraviolet B (UVB) phototherapy by minimal erythema dose (MED) narrow band ultraviolet B (NBUVB) phototherapy by minimal erythema dose (MED) narrow band ultraviolet B (NBUVB) phototherapy by skin type systemic psoralen plus ultraviolet A (PUVA) topical psoralen plus ultraviolet A (PUVA) Bath (or soak) psoralen plus ultraviolet A (PUVA) paint (lotion) psoralen plus ultraviolet A (PUVA) retinoid plus psoralen plus ultraviolet A (RePUVA) retinoid plus ultraviolet B (ReUVB) phototherapy retinoid plus narrow band ultraviolet B (ReNBUVB) Goeckerman treatment (crude coal tar plus UVB) ingam treatment (anthralin plus UVB) Specialised treatments: localised UVA/B - hand and/or foot treatments hydrosound bath scalp debridement. Vitiligo: systemic psoralen plus ultraviolet A (PUVA) treatment ps oralen baths or soaks plus ultraviolet A (Bath PUVA) Psoralen lotion plus ultraviolet A (Paint PUVA) narrow band ultraviolet B (NBUVB) phototherapy. Atopic dermatitis: ultraviolet B (UVB) phototherapy combination ultraviolet A/B (UVA/B) therapy narrow band ultraviolet B (NBUVB) phototherapy systemic psoralen plus ultraviolet A (PUVA) hydrosound bath. Pruritus: ultraviolet B (UVB) phototherapy combination ultraviolet A/B (UVA/B therapy. Cutaneous T-cell lymphoma (CTCL): ultraviolet B (UVB) phototherapy narrowband ultraviolet B (NBUVB) phototherapy by skin type systemic psoralen plus ultraviolet A (PUVA) treatment other selected phototherapy responsive dermatologic diseases. Patient consent forms: ultraviolet B (UVB) phototherapy psoralen plus ultraviolet A (PUVA) scalp treatments home ultraviolet therapy. Patient educational handouts: UVB phototherapy systemic PUVA topical bath/paint PUVA goeckerman regimen modified ingram. Treatment management forms: physician's orders phototherapy treatment record ophthalmology exam record self-administered psoriasis area and severity scoring instructions doctor-administered psoriasis area and severity scoring instructions flow sheets: PUVA methotrexate methotrexate retinoid cyclosporine. Appendices: skin types procedure for determination of the minimal erythema dose (MED) for UVB procedure for determination of the minimal erythema dose (MED) for narrow band UVB differential diagnosis some agents that may cause photosensitivity equipment manufacturers letters for home phototherapy treatment suggested reading list.