Joint American Academy of Dermatology-National Psoriasis Foundation guidelines of care for the management and treatment of psoriasis with phototherapy

Joint American Academy of Dermatology-National Psoriasis Foundation guidelines of care for the management and treatment of psoriasis with phototherapy
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DOI:
10.1016/j.jaad.2019.04.042
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发表时间:
2019-09-01
影响因子:
13.8
通讯作者:
Menter, Alan
Menter, Alan
中科院分区:
医学1区
文献类型:
--
作者:
Elmets, Craig A.;Lim, Henry W.;Menter, Alan

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银屑病是一种慢性炎症性疾病,涉及多个器官系统,影响约3.2%的世界人口。在银屑病护理指南的这一节中,我们将重点讨论基于紫外线(UV)的治疗,包括窄带和宽带UVB,UVA与光敏剂结合,靶向UVB治疗,如准分子激光,以及这些核心光疗的其他几种形式和变化,包括脉冲染料激光,强脉冲光,和发光电极。我们将对每种治疗方式的疗效和安全性进行深入的循证讨论,并为单独使用这些疗法或与其他局部和/或全身性银屑病治疗联合使用提供建议和指导。
Psoriasis is a chronic inflammatory disease involving multiple organ systems and affecting approximately 3.2% of the world's population. In this section of the guidelines of care for psoriasis, we will focus the discussion on ultraviolet (UV) lighte-based therapies, which include narrowband and broadband UVB, UVA in conjunction with photosensitizing agents, targeted UVB treatments such as with an excimer laser, and several other modalities and variations of these core phototherapies, including newer applications of pulsed dye lasers, intense pulse light, and light-emitting electrodes. We will provide an in-depth, evidence-based discussion of efficacy and safety for each treatment modality and provide recommendations and guidance for the use of these therapies alone or in conjunction with other topical and/or systemic psoriasis treatments.